Individual provider Active NPI

Vladimir Yelyev, P.T., D.P.T.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1760858476
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39320 Issued in NY
Practice address
2409 Ocean Ave
Unit 1F
Brooklyn, NY 11229-3576
Phone
(718) 775-8966
Fax
(718) 744-2840
NPI assigned
Aug 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39320 NY Primary

Addresses

Primary practice location

2409 Ocean Ave
Unit 1F
Brooklyn, NY 11229-3576

Mailing address

2409 Ocean Ave
Unit 1F
Brooklyn, NY 11229-3576
Phone (718) 775-8966

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108000823 NY Practitioner - Physical Therapist in Private Practice 2961704804 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Aid PT PCGroup PAC ID 7315160272, 4 clinicians
Assist Physical Therapy PLLCGroup PAC ID 9032469598, 2 clinicians

Practice addresses (Care Compare)

2627 D Hylan Blvd
Suite 4
Staten Island, NY 10306-4356
Phone (718) 351-2300

2748 Ocean Ave
Apt 7
Brooklyn, NY 11229-4735
Phone (718) 775-8966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39320NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Assist Home Therapy PT OT CurrentSince Mar 11, 2025 Accepting new patients
Assist Physical Therapy, PLLC CurrentSince Jul 1, 2018 Accepting new patients
First Aid PT PC CurrentSince Jul 14, 2022 Accepting new patients
Bienetre Medical PC PastSince Jul 14, 2022 Accepting new patients

Locations

2769 Coney Island Ave
Ste 2
Brooklyn, NY 11235
Phone (347) 462-9170

2627D Hylan Blvd
Ste 4
Staten Island, NY 10306
Phone (718) 351-2300

Networks

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

Organizations & group practices 4

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1760858476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 OCEAN AVE",
            "address_2": "UNIT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293576",
            "telephone_number": "718-775-8966",
            "fax_number": "718-744-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 OCEAN AVE",
            "address_2": "UNIT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293576",
            "telephone_number": "718-775-8966",
            "fax_number": "718-744-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELYEV",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "39320",
            "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 Sep 26, 2018; 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.