Liliya Dyakiv, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

049151-01 Issued in NY

Practice address

2 Coraci Blvd Ste 2
Shirley, NY 11967-4833

Phone

(631) 395-9090

Fax

(631) 395-9100

NPI assigned

Dec 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Christopher Horsford PT PC

  • Physical Therapist
  • Shirley, NY
  • NPI 1447581723
  NPD

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1619680022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD STE 2",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833",
            "telephone_number": "631-395-9090",
            "fax_number": "631-395-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD STE 2",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833",
            "telephone_number": "631-395-9090",
            "fax_number": "631-395-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAKIV",
        "first_name": "LILIYA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "049151-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Walter Alexovitz D.C.P.C.
• Amanda Drenzyk, BCBA
• Kimberly Duffy, MD
• Dummuzi Christopher Duhaney, LMSW
• Tara Dunn
• David Randall Dynof, MD
• Eastern Island Medical Care PC
• Kimberly Edwards
• Tracy L Egger, LCSW
• Noha Aladdin Elfar, OTR/L

• Physical Therapy Assistant in Shirley, NY
• Providers in Shirley, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.