Mikhail Slobodskoi, PHYSICAL THERAPIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT016936 Issued in PA

Practice address

2 Park LN
Suite 104
Feasterville, PA 19053-6004

Phone

(215) 953-9944

Fax

(215) 953-9943

NPI assigned

Jan 21, 2006

Sex

Male

Sole proprietor

Yes

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinity of Care, Inc 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• A-Team Home Care, Inc.

  • Home Health Agency
  • Feasterville Trevose, PA
  • NPI 1255783031

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

  CMS ownership

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.

• Infinity of Care, Inc

  • Physical Therapy Clinic/Center
  • Feasterville, PA
  • NPI 1518947753

  PA, Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• A-Team Home Care, Inc.

  • Home Health Agency
  • Feasterville Trevose, PA
  • NPI 1255783031
  NPD (past) Authorized official
• Aurora Hospice Inc

  • Community Based Hospice Care Agency
  • Feasterville Trevose, PA
  • NPI 1689943763
  NPD

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154301398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK LN",
            "address_2": "SUITE 104",
            "city": "FEASTERVILLE",
            "state": "PA",
            "postal_code": "190536004",
            "telephone_number": "215-953-9944",
            "fax_number": "215-953-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK LN",
            "address_2": "SUITE 104",
            "city": "FEASTERVILLE",
            "state": "PA",
            "postal_code": "190536004",
            "telephone_number": "215-953-9944",
            "fax_number": "215-953-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBODSKOI",
        "first_name": "MIKHAIL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT016936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas E Sabalaske, D.O.
• Michael Brian Salin, DMD
• Susan Semel
• Sherri Landes PHD PA
• Mila Sinderovsky, OT
• Sma Medical, Inc.
• Joseph Terragrossa, PT
• Thomas Duffield, MD, PC
• TLC Hospice Inc
• United Therapy Centers, Inc.

• All providers in Feasterville, PA
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.