Yefim Reznikov, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19483 Issued in MD

Practice address

10706 Reisterstown Road
Suite 6
Owings Mills, MD 21117-2720

Phone

(410) 363-0004

Fax

(410) 902-6971

NPI assigned

Sep 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amerecare Rehabilitation of Owings Mills, Inc.

  • Physical Therapist
  • Owings Mills, MD
  • NPI 1295978203
  Medicare reassignment NPD Authorized official
• Tatyana Reznikov, M.D., P.a.

  • Specialist
  • Owings Mills, MD
  • NPI 1811121601
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1104076777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 REISTERSTOWN ROAD",
            "address_2": "SUITE 6",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172720",
            "telephone_number": "410-363-0004",
            "fax_number": "410-902-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 REISTERSTOWN ROAD",
            "address_2": "SUITE 6",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172720",
            "telephone_number": "410-363-0004",
            "fax_number": "410-902-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNIKOV",
        "first_name": "YEFIM",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renewed Mind Psychotherapeutic Services
• Renewing Your Mind Inc.
• Resurgere Wellness LLC
• Cheryl C Reynolds, DDS
• Ana Reynoso
• Savannah C Rhoads
• Amy L Rich, LCPC
• Richard a Gruen MD PA
• Richard P. Franklin, M.D., P.a.
• Andrea Richardson

• Physical Therapist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.