Active NPI
Julie Dementyeva, PTA
- Physical Therapy Assistant
- Bronx, NY
National Provider Identifier
1225941917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 015414
- Practice address
- 326 E 149TH St BLDG Suite
Bronx, NY 10451-5602 - Phone
- (718) 928-6582
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 015414 | NY | Primary |
Addresses
Primary practice location
326 E 149TH St BLDG Suite
Bronx, NY 10451-5602
Mailing address
620 W 143Rd St Apt 6H
New York, NY 10031-5954
Phone (951) 566-6750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1225941917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 W 143RD ST APT 6H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100315954",
"telephone_number": "951-566-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 E 149TH ST BLDG SUITE",
"city": "BRONX",
"state": "NY",
"postal_code": "104515602",
"telephone_number": "718-928-6582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMENTYEVA",
"first_name": "JULIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "015414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.