Individual provider Active NPI

Vitaly Dvoskin, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1205073897
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030873 Issued in NY
Practice address
605 Madison Ave
4TH Floor/Jfgymnastique
New York, NY 10022-1900
Phone
(888) 705-2227
Fax
(888) 705-2297
NPI assigned
Jan 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030873 NY Primary

Addresses

Primary practice location

605 Madison Ave
4TH Floor/Jfgymnastique
New York, NY 10022-1900

Mailing address

116 E 60TH St
Suite 1002
New York, NY 10022-1107
Phone (917) 604-8612

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

LicenseStateTypeSpecialty
030873NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Forward Physical Therapy, PC Physical Therapist CurrentSince May 16, 2023 Accepting new patients
Vitaly Physical Therapy PC Physical Therapist Current Accepting new patients
Vigor Physical Therapy and Rehabilitation PC Past Accepting new patients
Back to Sports Physical Therapy, P.C. Physical Therapist PastSince Jul 13, 2012 Accepting new patients
I&M Physical Therapy, P.C Physical Therapist Past Accepting new patients

Locations

605 Madison Ave
Fl 4
New York, NY 10022
Phone (646) 717-4429

30 E 60th St
Rm 505
New York, NY 10022
Phone (212) 606-4035

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.

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1205073897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E 60TH ST",
            "address_2": "SUITE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221107",
            "telephone_number": "917-604-8612",
            "fax_number": "917-604-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MADISON AVE",
            "address_2": "4TH FLOOR/JFGYMNASTIQUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221900",
            "telephone_number": "888-705-2227",
            "fax_number": "888-705-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVOSKIN",
        "first_name": "VITALY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.