Ilya Dubrovin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022986 Issued in PA

Practice address

9551 Bustleton Ave
Philadelphia, PA 19115-3800

Phone

(215) 698-2220

Fax

(215) 464-1808

NPI assigned

Aug 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Revive Health PT LLCGroup PAC ID 5597204099, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Revive Health PT LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1699506733
  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  PA

  Medicare reassignment Care Compare group NPD
• General Medical & Rehabilitation Associates, Inc

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1225140387
  Medicare reassignment
• L&M Medical Associates, P.C.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1083774244
  NPD (past)

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1770915118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153800",
            "telephone_number": "215-698-2220",
            "fax_number": "215-464-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153800",
            "telephone_number": "215-698-2220",
            "fax_number": "215-464-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBROVIN",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-08",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103011889-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duboyd Reliacare LLC
• Shirley Duboyd
• Anne L. Dubreuil, M.D.
• Jacob G Dubroff, MD
• Lisa Dubroff
• Linda Dubrow-Marshall, PH.D.
• Sarah Dubrow
• Anna Dubyanskite, MD
• Aviana Nicole Duca
• Silvina Duchini, LCSW

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.