Active NPI
Vladimir Fedosseev, PT, DPT
- Physical Therapist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038352-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038352-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Vladimir Fedosseev Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | 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
- drv@vfphysicaltherapy.kareodirect.com
- 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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
dba VF Physical Therapy
- Physical Therapist
- Staten Island, NY
- NPI 1407418635
-
dba AdvantageCare Physicians
- General Practice Physician
- New York, NY
- NPI 1336578772
-
dba AdvantageCare Physicians Urgent Care
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
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.