Active NPI
Dmitry Voloshinov, DPT, STS
- Physical Therapist
- Palmer, MA
National Provider Identifier
1093952806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16735
- Practice address
- 1415 Main St
Palmer, MA 01069-1216 - Phone
- (413) 283-8303
- Fax
- (413) 283-8304
- NPI assigned
- Jan 15, 2009
- 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 | 16735 | MA | Primary |
Addresses
Primary practice location
1415 Main St
Palmer, MA 01069-1216
Mailing address
1415 Main St
Palmer, MA 01069-1216
Phone (413) 283-8303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16735 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients | |
| Reliant Medical Group, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Worcester, MA
- NPI 1295827962
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1093952806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 MAIN ST",
"city": "PALMER",
"state": "MA",
"postal_code": "010691216",
"telephone_number": "413-283-8303",
"fax_number": "413-283-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 MAIN ST",
"city": "PALMER",
"state": "MA",
"postal_code": "010691216",
"telephone_number": "413-283-8303",
"fax_number": "413-283-8304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLOSHINOV",
"first_name": "DMITRY",
"name_prefix": "Dr.",
"credential": "DPT, STS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-15",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.