Gennady Yagnetinsky, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023608-1 Issued in NY

Practice address

61 Boswell Rd
Putnam Valley, NY 10579-2810

Phone

(845) 603-6339

Fax

(845) 603-6339

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Link Home Therapy Services of Ny-PT OT SLP PLLC

  • Physical Therapy Clinic/Center
  • Valley Stream, NY
  • NPI 1942782966
  Medicare reassignment NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1497976161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BOSWELL RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105792810",
            "telephone_number": "845-603-6339",
            "fax_number": "845-603-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BOSWELL RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105792810",
            "telephone_number": "845-603-6339",
            "fax_number": "845-603-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGNETINSKY",
        "first_name": "GENNADY",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023608-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02242780",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VJZ Enterprises, Inc
• Barbara A Volpe, M.S.
• Ann Marie Vulaj
• Waterside Womens Medical Care PC
• Ave Ann Welcome, RD
• Valerie Jane Zarcone, DO
• A Ndrea Zuckerman, M.D.

• Physical Therapist in Putnam Valley, NY
• Providers in Putnam Valley, 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 May 5, 2010; 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.