OrganizationActive
Pain Management & Rehabilitative Physical Medicine, PC
NPI 1114061074 · Physical Medicine & Rehabilitation Physician · Brooklyn, NY
Provider details
- NPI number
- 1114061074
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laurian Jacoby, President(718) 621-0336
- License
- 166878 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2281 82nd St
Brooklyn, NY 11214-2603
Phone: (718) 621-0336
Fax: (718) 621-0339
Street-level locationGet directions
Mailing address
895 Cherry Ln
Valley Stream, NY 11581-2722
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2014-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.