Active NPI
Renat Myaskovskiy, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1558841429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043346
- Practice address
- 32 Union SQ E FL 3
New York, NY 10003 - Phone
- (212) 677-3989
- NPI assigned
- Aug 20, 2018
- Last updated
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 043346 | NY | Primary |
Addresses
Primary practice location
32 Union SQ E FL 3
New York, NY 10003
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6010 Bay Pkwy
Brooklyn, NY 11204-6079
Phone (718) 283-8962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043346 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Medical Center Orthopaedic FPP | Current | Accepting new patients | |
| Maimonides Bone and Joint Faculty Practice Physical Therapy | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1609431576
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1073943163
-
- Occupational Therapist
- New York, NY
- NPI 1982154555
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1558841429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002",
"telephone_number": "631-359-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 UNION SQ E FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-677-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYASKOVSKIY",
"first_name": "RENAT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.