Individual provider Active NPI

Yevgeny Onefator, DPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1710205174
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38600 Issued in FL
Practice address
1893 NE Miami Gardens Dr
Miami, FL 33179-5035
Phone
(305) 682-0080
Fax
(305) 682-0775
NPI assigned
May 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032674 NY
Physical Therapist 225100000X 38600 FL Primary

Addresses

Primary practice location

1893 NE Miami Gardens Dr
Miami, FL 33179-5035

Mailing address

150 Sunny Isles Blvd Unit 1402
Sunny Isles Beach, FL 33160-4395
Phone (718) 753-0364

Other practice location 1

1662 NE 123rd St
North Miami, FL 33181-2701
Phone (718) 753-0364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100709000437 NY Practitioner - Physical Therapist in Private Practice 1850423872 Reassigns benefits to 3 organizations
I20240904000398 FL Practitioner - Physical Therapist in Private Practice 1850423872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back 2 Shape Physical Therapy, PLLC Physical Therapist CurrentSince Dec 22, 2015 Accepting new patients
New York University CurrentSince Nov 1, 2016 Accepting new patients
New York University CurrentSince Nov 1, 2016 Accepting new patients
Back 2 Shape P.T. & O.T., PLLC Physical Therapist PastSince Sep 13, 2017 Accepting new patients

Locations

1414 Sheepshead Bay Rd
Ste 103
Brooklyn, NY 11235
Phone (718) 909-5929

186 Joralemon St
Fl 8
Brooklyn Heights, NY 11201
Phone (718) 596-5050

186 Joralemon St
Brooklyn Heights, NY 11201
Phone (718) 852-1400

Organizations & group practices 5

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": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1710205174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SUNNY ISLES BLVD UNIT 1402",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604395",
            "telephone_number": "718-753-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795035",
            "telephone_number": "305-682-0080",
            "fax_number": "305-682-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1662 NE 123rd St",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812701",
            "country_code": "US",
            "telephone_number": "718-753-0364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONEFATOR",
        "first_name": "YEVGENY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032674",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "38600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.