Irina Mesheriakov, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045369 Issued in NY

Practice address

848 Edgegrove Ave
Staten Island, NY 10309-2407

Phone

(917) 660-3776

NPI assigned

Nov 27, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1104463934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 EDGEGROVE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092407",
            "telephone_number": "917-660-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 EDGEGROVE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092407",
            "telephone_number": "917-660-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHERIAKOV",
        "first_name": "IRINA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mervilus-Bigord NP in Family Health, P.C.
• Sandra Mervilus-Bigord, FNP
• Rebecca Khaya Merzlyakov, MS
• Leslie Mescallado, MD
• Roy M Mesenscott, CORPSMAN
• Michael Meshreki, M.D.
• Peter Meshreky, PHARM.D
• Phebean Messeh
• Mark Messer, LMT
• Lauren Messina, MS,CCC-SLP

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.