Individual provider Active NPI

Yelena Sidorina, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1649577305
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033201-1 Issued in NY
Practice address
325 Garfield PL
Brooklyn, NY 11215-2351
Phone
(718) 230-1180
Fax
(718) 230-1199
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033201-1 NY Primary

Addresses

Primary practice location

325 Garfield PL
Brooklyn, NY 11215-2351

Mailing address

325 Garfield PL
Brooklyn, NY 11215-2351
Phone (718) 230-1180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110822000165 NY Practitioner - Physical Therapist in Private Practice 0244400620 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1818 Newkirk Ave
Brooklyn, NY 11226-7359
Phone (718) 859-2626

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033201-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Therapeutic Inspirations PT, PC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Health Sos PT PC Physical Therapist CurrentSince Aug 1, 2017 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Apr 1, 2021 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

27 Smith St
Fl 5
Brooklyn, NY 11201
Phone (718) 488-0001

145 E 32nd St
Ste 303
New York, NY 10016
Phone (212) 375-1065

1255 5th Ave
Apt 6L
New York, NY 10029
Phone (914) 390-0080

144 E 44th St
Ste 302
New York, NY 10017
Phone (212) 490-3800

145 E 32nd St
New York, NY 10016
Phone (212) 263-3210

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

139 E 57th St
New York, NY 10022
Phone (212) 753-4767

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 7

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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1649577305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 GARFIELD PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152351",
            "telephone_number": "718-230-1180",
            "fax_number": "718-230-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GARFIELD PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152351",
            "telephone_number": "718-230-1180",
            "fax_number": "718-230-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDORINA",
        "first_name": "YELENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033201-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 17, 2024; 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.