Individual provider Active NPI

Anna Fyodorova, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1437200250
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028955 Issued in NY
Practice address
813 Quentin Rd
Suite 200
Brooklyn, NY 11223-2251
Phone
(718) 998-9890
Fax
(718) 998-9891
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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 028955 NY Primary

Addresses

Primary practice location

813 Quentin Rd
Suite 200
Brooklyn, NY 11223-2251

Mailing address

813 Quentin Rd
Suite 200
Brooklyn, NY 11223-2251
Phone (718) 998-9890

Other identifiers 1

IdentifierTypeStateIssuer
028955-1OtherNYSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070419000421 NY Practitioner - Physical Therapist in Private Practice 6901901974 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab on Wheels OT PT PLLCGroup PAC ID 0042585358, 49 clinicians
Tri Physical Therapy PCGroup PAC ID 5496971251, 3 clinicians

Practice addresses (Care Compare)

174 Bay 29TH St
Suite C1
Brooklyn, NY 11214-5020
Phone (718) 395-7445

35 W End Ave
Suite C 1
Brooklyn, NY 11235-4869
Phone (718) 998-9877

Merit-based Incentive Payment System (MIPS)

Final score
15.78 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
52.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028955NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Prokinetics Physical Therapy P.C. Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Nov 23, 2025 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Nov 20, 2019 Accepting new patients
Healthway Chiropractic, P.C. Current Accepting new patients
Big Leap Medical Group PA Past Accepting new patients

Locations

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

813 Quentin Rd
Ste 200
Brooklyn, NY 11223
Phone (718) 375-6111

35 W End Ave
Ste C1
Brooklyn, NY 11235
Phone (718) 232-5050

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1437200250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 QUENTIN RD",
            "address_2": "SUITE 200",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232251",
            "telephone_number": "718-998-9890",
            "fax_number": "718-998-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 QUENTIN RD",
            "address_2": "SUITE 200",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232251",
            "telephone_number": "718-998-9890",
            "fax_number": "718-998-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYODOROVA",
        "first_name": "ANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "028955-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.