Yellowstone Physical Therapy PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

YELLOWSTONE PHYSICAL THERAPY PC

Practice address

8811 Jamaica Ave
Woodhaven, NY 11421-2039

Phone

(718) 846-2300

Fax

(718) 846-2333

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gavril Malakov, PTNPI 1487771085

Title

Physical Therapist

Phone

(718) 846-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gavril Malakov, PT

  • Specialist
  • Woodhaven, NY
  • NPI 1487771085
  Medicare reassignment NPD Authorized official
• Maria Angelica Fayloga Japos

  • Physical Therapist
  • Bronx, NY
  • NPI 1437664224
  Medicare reassignment NPD
• Marymiel Joy Anetrella, PT

  • Physical Therapist
  • Oceanside, NY
  • NPI 1750405205
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1386754695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212039",
            "telephone_number": "718-846-2300",
            "fax_number": "718-846-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212039",
            "telephone_number": "718-846-2300",
            "fax_number": "718-846-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "MALAKOV",
        "authorized_official_first_name": "GAVRIL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-846-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02006875",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodhaven Optometric Associates, P.C.
• Woodhaven Orthodontics, PLLC
• Woodhaven Richmonds Hill Volunteer Ambulance Corps Inc
• Yanyun Yang
• Riche Yao, LMT
• Viena Yeung
• Olga Zargarova, PHARMD
• Ying Ying Zhang

• Specialist in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.