Alexandra Yakutelov

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

Bishop Orris G. Walker, Jr Healthcare Center
528 Prospect Place, 3Rd Floor Suite a
Brooklyn, NY 11238

Phone

(718) 613-6909

Fax

(718) 228-7064

NPI assigned

Apr 4, 2024

Last updated

Apr 4, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1457103277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BISHOP ORRIS G. WALKER, JR HEALTHCARE CENTER",
            "address_2": "528 PROSPECT PLACE, 3RD FLOOR SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-613-6909",
            "fax_number": "718-228-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BISHOP ORRIS G. WALKER, JR HEALTHCARE CENTER",
            "address_2": "528 PROSPECT PLACE, 3RD FLOOR SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-613-6909",
            "fax_number": "718-228-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUTELOV",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhanna Yakubova
• Michael Yakubovich
• Rochelle Yakubovich
• Stacy Yakubovich
• Neli Yakupov
• Luydmila Yakutelov, OTR/L
• Rudolf Yakutelov, OTR/L
• Diana Yakutilova, OT
• Raya Yakutilova
• Yelena Yakutilova, PA

• Physical Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.