Active NPI
Mila Frenkel, DPT
- Physical Therapist
- Valley Stream, NY
National Provider Identifier
1619202421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028567
- Practice address
- 176 Hungry Harbor Rd
Valley Stream, NY 11581-2515 - Phone
- (516) 837-9397
- NPI assigned
- Oct 13, 2009
- Last updated
- Oct 13, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028567 | NY | Primary |
Addresses
Primary practice location
176 Hungry Harbor Rd
Valley Stream, NY 11581-2515
Mailing address
176 Hungry Harbor Rd
Valley Stream, NY 11581-2515
Other names 1
- Lyudmila Ponomareva
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Therapeutics PT & OT PLLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Melville, NY
- NPI 1972882322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1619202421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 HUNGRY HARBOR RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115812515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 HUNGRY HARBOR RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115812515",
"telephone_number": "516-837-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRENKEL",
"first_name": "MILA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYUDMILA",
"last_name": "PONOMAREVA",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.