Active NPI
Dmitry Shevchenko, OTR/L
- Occupational Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 018851-1
- Practice address
- 174 Bay 29TH St # C2
Brooklyn, NY 11214-5020 - Phone
- (347) 766-9077
- Fax
- (718) 889-6707
- NPI assigned
- May 13, 2014
- Last updated
- Aug 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 018851-1 | NY | Primary |
Addresses
Primary practice location
174 Bay 29TH St # C2
Brooklyn, NY 11214-5020
Mailing address
3030 Emmons Ave Apt 5T
Brooklyn, NY 11235-2228
Phone (347) 766-9077
Other names 1
- Dmitry Shevchenko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
288 Sand LN
Suite 1
Staten Island, NY 10305-4512
Phone (347) 766-9077
93 Abingdon Ave
Staten Island, NY 10308-2202
Phone (347) 733-1774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018851-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Rehab, OT. P.C. | Occupational Therapist | Current | Accepting new patients |
| Rehab on Wheels OT PT PLLC | Occupational Therapist | Current | Accepting new patients |
| Chelsea Physical Therapy PLLC | Current | Accepting new patients | |
| High Impact Occupational Therapy PC | Occupational Therapist | Current | Accepting new patients |
| D and H PT OT PLLC | Occupational Therapist | Current | Accepting new patients |
| Ability HR Hand Therapy, OT and PT PLLC | Occupational Therapist | Current | Accepting new patients |
| Prokinetics Physical Therapy P.C. | Past | Accepting new patients |
Locations
174 Bay 29th St
#C2
Brooklyn, NY 11214
Phone (718) 395-7445
174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455
2632 E 21st St
Ste 2
Brooklyn, NY 11235
Phone (718) 368-3494
813 Quentin Rd
Ste 106
Brooklyn, NY 11223
Phone (718) 506-9663
8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199
359 W 23rd St
New York, NY 10011
Phone (212) 488-7300
110 Henderson Ave
Staten Island, NY 10301
Phone (718) 375-3746
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 8
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.
-
- Occupational Therapist
- New York, NY
- NPI 1629940994
-
- Occupational Therapist
- Staten Island, NY
- NPI 1346647385
-
- Occupational Therapist
- Staten Island, NY
- NPI 1205294691
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1245754225
-
dba Ability Healing Rays Hand Therapy, OT and PT
- Occupational Therapist
- New York, NY
- NPI 1881961597
-
- Physical Therapist
- Brooklyn, NY
- NPI 1942062971
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1285663278
-
- Physical Therapist
- Brooklyn, NY
- NPI 1922412220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1578974473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 EMMONS AVE APT 5T",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352228",
"telephone_number": "347-766-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 BAY 29TH ST # C2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145020",
"telephone_number": "347-766-9077",
"fax_number": "718-889-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEVCHENKO",
"first_name": "DMITRY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "018851-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DMITRY",
"last_name": "SHEVCHENKO",
"credential": "OTR/L",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 26, 2025; 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.