Phillip Ilievski

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

92 West Ave
Brockport, NY 14420-1306

Phone

(585) 637-0790

NPI assigned

Jun 5, 2023

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Physical Therapy Services, PCGroup PAC ID 1153302823, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Agape Physical Therapy Services, PC

  • Physical Therapist
  • Brockport, NY
  • NPI 1841200649
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366136392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 EASTHAM CT",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201306",
            "telephone_number": "585-637-0790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 Chili Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146245438",
            "country_code": "US",
            "telephone_number": "585-889-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Sullys Trl Ste 9-10",
            "address_purpose": "LOCATION",
            "city": "Pittsford",
            "state": "NY",
            "postal_code": "145344563",
            "country_code": "US",
            "telephone_number": "585-259-1182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Canal Landing Blvd Ste 2-3",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146265111",
            "country_code": "US",
            "telephone_number": "585-617-0581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 Elmgrove Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146241320",
            "country_code": "US",
            "telephone_number": "585-247-8535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802982",
            "country_code": "US",
            "telephone_number": "585-671-3770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2154 Fairport Nine Mile Pt Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fairport",
            "state": "NY",
            "postal_code": "144508637",
            "country_code": "US",
            "telephone_number": "585-364-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILIEVSKI",
        "first_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Jay Hungate, MPT
• Musheer Hussain, MD
• Sharon Cristine Huynh, O.D.
• Sarah Hyatt
• Brian John Iannaccone, D.D.S.
• Internal Medicine at Lakeside
• Kelsey Eleanor Izzo, MD
• John Leonard Jackson
• Regina Janda, LPN
• Edward Renea Jett, OPTICIAN

• Physical Therapist in Brockport, NY
• Providers in Brockport, 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 11, 2025; 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.