Individual provider Active NPI

Yevgeniya Schrettner, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1336682095
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0405551 Issued in NY
Practice address
250 W 93Rd St
New York, NY 10025-7391
Phone
(212) 580-0125
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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 0405551 NY Primary

Addresses

Primary practice location

250 W 93Rd St
New York, NY 10025-7391

Mailing address

3016 30TH Dr
FL 2
Astoria, NY 11102-1874
Phone (212) 580-0125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222000212 NY Practitioner - Physical Therapist in Private Practice 8123309697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Medical Fitness PCGroup PAC ID 3476974486, 4 clinicians

Practice addresses (Care Compare)

389 Fort Salonga Rd
Suite 2
Northport, NY 11768-3089
Phone (631) 201-2474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0405551NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Medical Fitness PC CurrentSince Nov 18, 2021 Accepting new patients
Reddy Care Physical Therapy PC Physical Therapist PastSince Aug 1, 2022 Accepting new patients

Locations

389 Fort Salonga Rd
Ste 2
Northport, NY 11768
Phone (631) 201-2474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1336682095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 30TH DR",
            "address_2": "FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "212-580-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 93RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257391",
            "telephone_number": "212-580-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRETTNER",
        "first_name": "YEVGENIYA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0405551",
            "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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.