Individual provider Active NPI

Anastasia Belikov, PT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1538682117
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18778 Issued in NC
Practice address
4823 Meadow Dr Ste 208
Durham, NC 27713-9208
Phone
(252) 436-1600
Fax
(252) 436-1633
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 041774-1 NY
Physical Therapist 225100000X P18778 NC Primary

Addresses

Primary practice location

4823 Meadow Dr Ste 208
Durham, NC 27713-9208

Mailing address

601 Eastway Ave
Durham, NC 27703-2003
Phone (845) 633-3095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220506000660 NC Practitioner - Physical Therapist in Private Practice 5294009247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4823 Meadow Dr
Suite 208
Durham, NC 27713-9208
Phone (845) 633-3095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041774-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MVMT Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

4823 Meadow Dr
Ste 208
Durham, NC 27713
Phone (845) 633-3095

Organizations & group practices 1

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1538682117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EASTWAY AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032003",
            "telephone_number": "845-633-3095",
            "fax_number": "984-261-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 MEADOW DR STE 208",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139208",
            "telephone_number": "252-436-1600",
            "fax_number": "252-436-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIKOV",
        "first_name": "ANASTASIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041774-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.