Vladimir Fedosseev Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VLADIMIR FEDOSSEEV PHYSICAL THERAPY PC

Practice address

3371 Richmond Ave
Lower Level Ste
Staten Island, NY 10312-2025

Phone

(718) 808-9337

NPI assigned

Jul 9, 2019

Organization subpart

No

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

Authorized official

Name

Vladimir Fedosseev, PT, DPTNPI 1023470093

Title

Owner

Phone

(718) 808-9337

Specialties & licenses 1

Addresses

Other names 1

• VF Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Vladimir Fedosseev, PT, DPT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1023470093
  Medicare reassignment NPD Authorized official
• Olga Kheyson, MD

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1871971051
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1407418635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 RICHMOND AVE LOWR LEVEL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122025",
            "telephone_number": "718-808-9337",
            "fax_number": "347-983-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 RICHMOND AVE",
            "address_2": "LOWER LEVEL STE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122025",
            "telephone_number": "718-808-9337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Water St Fl 12",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100410004",
            "country_code": "US",
            "telephone_number": "718-790-8177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VLADIMIR FEDOSSEEV PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "FEDOSSEEV",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-808-9337",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VF Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VF Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abhirami Vivekanandarajah, M.D.
• Adrienne M. Viviano, P.A.
• Arlene Viviano, RN
• Vivid Imagination Station LLC
• Vivid Minds, LLC
• Nicholas Vlassenko, PT
• Margarita Vodopyanov, LMSW
• Brielle Vodovoz, R.N.
• Jeanette Voice, MD
• Nargiza Volakos, FNP

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, 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 Jul 17, 2020; 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.