Individual provider Active NPI

Vladimir Fedosseev, PT, DPT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1023470093
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038352-1 Issued in NY
Practice address
3371 Richmond Ave Lowr Level
Staten Island, NY 10312-2025
Phone
(718) 808-9337
Fax
(347) 983-6126
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038352-1 NY Primary

Addresses

Primary practice location

3371 Richmond Ave Lowr Level
Staten Island, NY 10312-2025

Mailing address

3371 Richmond Ave Lowr Level
Staten Island, NY 10312-2025
Phone (718) 808-9337

Other practice location 1

1050 Clove Road
Staten Island, NY 10301-3627
Phone (718) 816-6440

Other practice location 2

4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone (718) 948-8200

Other practice location 3

3371 Richmond Ave
Lower Level Ste
Staten Island, NY 10312
Phone (718) 808-9337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001255 NY Practitioner - Physical Therapist in Private Practice 2961701362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

33 Richmond Hill Rd
Staten Island, NY 10314-5950
Phone (718) 982-6340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038352-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Nov 1, 2017 Accepting new patients
Vladimir Fedosseev Physical Therapy PC Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients
Advantagecare Physicians PC CurrentSince Nov 1, 2017 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Jun 16, 2025 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

55 Water St
Fl 2
New York, NY 10041

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

3371 Richmond Ave
Lowr
Staten Island, NY 10312
Phone (718) 808-9337

33 Richmond Hill Rd
Staten Island, NY 10314
Phone (718) 982-5358

1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440

4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200

Interoperability endpoints

  • Direct secure messaging: drv@vfphysicaltherapy.kareodirect.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 5

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1023470093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 RICHMOND AVE LOWR LEVEL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122025",
            "telephone_number": "718-808-9337",
            "fax_number": "347-983-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 RICHMOND AVE LOWR LEVEL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122025",
            "telephone_number": "718-808-9337",
            "fax_number": "347-983-6126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Clove Road",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013627",
            "country_code": "US",
            "telephone_number": "718-816-6440",
            "fax_number": "718-420-2718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4771 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103126315",
            "country_code": "US",
            "telephone_number": "718-948-8200",
            "fax_number": "718-420-2718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3371 Richmond Ave",
            "address_2": "Lower Level Ste",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "10312",
            "country_code": "US",
            "telephone_number": "718-808-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDOSSEEV",
        "first_name": "VLADIMIR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038352-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 17, 2020; 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.