Irina Mesheriakov PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IRINA MESHERIAKOV PT PC

Practice address

848 Edgegrove Ave
Staten Island, NY 10309-2407

Phone

(917) 660-3776

NPI assigned

Apr 18, 2022

Organization subpart

No

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

Authorized official

Name

Irina Mesheriakov

Title

Owner

Phone

(917) 660-3776

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1760125835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 EDGEGROVE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 EDGEGROVE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092407",
            "telephone_number": "917-660-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "848 Edgegrove Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103092407",
            "country_code": "US",
            "telephone_number": "917-660-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRINA MESHERIAKOV PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "MESHERIAKOV",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-660-3776"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Camhi, D.D.S., P.C.
• Ira Davis, MD, PLLC
• Christopher Irace
• Nadia Irfan
• Rejja Irfan, MD
• Irina'S Kids Corp
• Tatyana Irinina, DPT
• Thomas Irkinas
• Mohammad Irshad, R.PH
• Shahmeen Irshad, MD

• 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 Apr 18, 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.