Yan Yusupov, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62031272 Issued in NY

Practice address

97-35 63 Drive
Rego Park, NY 11374-2229

Phone

(718) 459-2771

NPI assigned

Mar 27, 2009

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 NY

Enrollment records 1

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.

• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD
• Motion Forward Physical Therapy PC

  • Physical Therapist
  • Corona, NY
  • NPI 1306780465
  Medicare reassignment NPD
• Brian M. Wraith, Doctor of Chiropractic, P.C.

  • Chiropractor
  • Fairview, NJ
  • NPI 1659531507
  NPD (past)
• Dynamic Rehab Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Somerset, NJ
  • NPI 1184869034
  NPD (past)
• Heller Family Chiropractic PC

  • Chiropractor
  • Edgewater, NJ
  • NPI 1790904860
  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1295977973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97-35 63 DRIVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742229",
            "telephone_number": "718-459-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSUPOV",
        "first_name": "YAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62031272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariya Yunusova, MASLPCCC
• Julia Yureneva, MD
• Yuriy Nektalov, DDS, PC
• Arthur Yushuva, MD
• Olga Yushuvayeva, OTR/L
• Alina Yusupova
• Ella Yusupova
• Tatyana Yuzbashyan, M.D.
• Candace Ellen Zaiff, PHYSICAL THERAPIST
• David D Zargaroff, M.D.

• Physical Therapist in Rego Park, NY
• Providers in Rego Park, 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 Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.