Individual provider Active NPI

Julia Sapoff, PT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1013934926
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015531 Issued in NY
Practice address
2305 Hylan Blvd
Staten Island, NY 10306-3231
Phone
(718) 667-0297
Fax
(718) 667-1945
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01008700 NJ
Physical Therapist 225100000X 015531 NY Primary

Addresses

Primary practice location

2305 Hylan Blvd
Staten Island, NY 10306-3231

Mailing address

2305 Hylan Blvd
Staten Island, NY 10306-3231
Phone (718) 667-0297

Other practice location 1

550 N Broad St
Elizabeth, NJ 07208-3302
Phone (908) 344-9644

Other identifiers 2

IdentifierTypeStateIssuer
1013934926MedicaidNJ
02227443MedicaidNY

Other names 1

  • Yuliya Parkhomovskaya Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040518001172 NY Practitioner - Physical Therapist in Private Practice 6002807237 Reassigns benefits to 1 organization
I20090714000669 NJ Practitioner - Physical Therapist in Private Practice 6002807237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Rehabilitation PCGroup PAC ID 8022160530, 3 clinicians

Practice addresses (Care Compare)

2305 Hylan Blvd
Staten Island, NY 10306-3231
Phone (718) 667-0297

550 N Broad St
Elizabeth, NJ 07208-3302
Phone (917) 520-4337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01008700NJMDPhysical Therapist
015531NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation, P.C. Physical Therapist CurrentSince Mar 13, 2003 Accepting new patients

Locations

7 Edgeboro Rd
East Brunswick, NJ 08816
Phone (732) 432-9990

550 N Broad St
Elizabeth, NJ 07208
Phone (908) 469-6233

2305 Hylan Blvd
Staten Island, NY 10306
Phone (718) 667-0297

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1013934926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063231",
            "telephone_number": "718-667-0297",
            "fax_number": "718-667-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063231",
            "telephone_number": "718-667-0297",
            "fax_number": "718-667-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072083302",
            "country_code": "US",
            "telephone_number": "908-344-9644",
            "fax_number": "908-344-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPOFF",
        "first_name": "JULIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01008700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013934926",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02227443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YULIYA",
            "last_name": "PARKHOMOVSKAYA",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.