Boris Polonskiy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028006 Issued in NY

Practice address

1835 Richmond Rd
Staten Island, NY 10306-2560

Phone

(718) 502-5271

Fax

(718) 701-1188

NPI assigned

Jul 9, 2006

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ, FL3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

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

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.

• New U Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Staten Island, NY
  • NPI 1184916835

  NJ, Physical Therapist

  Medicare reassignment NPD Authorized official
• New U Physical Therapy of North Miami, PLLC

  • Physical Therapist
  • North Miami, FL
  • NPI 1154049690
  Medicare reassignment NPD Authorized official
• New U Physical Therapy Professional Association

  • Physical Therapist
  • Piscataway, NJ
  • NPI 1437863636
  NPD (past) Authorized official
• Back to Health & Wellness of FL, PA

  • Chiropractor
  • North Miami, FL
  • NPI 1760178644
  NPD
• Bay Park One Medical, PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1558461335
  NPD (past)
• Feel Good Physical Therapy, PC

  • Specialist
  • Brooklyn, NY
  • NPI 1821109752

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1710910112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062560",
            "telephone_number": "718-502-5271",
            "fax_number": "718-701-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062560",
            "telephone_number": "718-502-5271",
            "fax_number": "718-701-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONSKIY",
        "first_name": "BORIS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38484",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01591600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Polimeni
• Marino A Poliseno, DO
• Laura Polito, PA-C
• Christine Pollack, OTR/L
• Ebony Imani Pollock, OT
• Tatsiana Polonskiy
• Aimee N Pomaro
• Christine Pommerenk, OT
• Claude R Pompo, PH.D.
• Vipul C Ponappa

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.