Mikhail Ilyasov, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

025495 Issued in NY

Practice address

9508 Queens Blvd Ste 1E
Rego Park, NY 11374-1151

Phone

(718) 275-2669

Fax

(718) 275-2686

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Occupational Therapy Nest PLLCGroup PAC ID 4880091701, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.35 of 100Reported as group

Quality

73.31

Improvement activities

40

Cost

73.42

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Occupational Therapy Nest PLLC

  • Occupational Therapist
  • Rego Park, NY
  • NPI 1144993338
  Medicare reassignment Care Compare group NPD Authorized official
• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365
  Medicare reassignment NPD
• Provider Rehab, OT. P.C.

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1205294691
  Medicare reassignment NPD
• Rehab on Wheels OT PT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1245754225
  Medicare reassignment NPD
• Metro PT OT and SLP Health PLLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1447564042
  NPD
• Physical Therapy Nest P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1033773437
  NPD
• Prokinetics Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1922412220
  NPD (past)

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1780260018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14765 HOOVER AVE",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352139",
            "telephone_number": "718-612-5634",
            "fax_number": "718-275-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 QUEENS BLVD STE 1E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741151",
            "telephone_number": "718-275-2669",
            "fax_number": "718-275-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYASOV",
        "first_name": "MIKHAIL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Ilyabayeva
• Yafa Ilyabayeva
• Tamara Ilyadzhanova
• Mazal Ilyaich
• Eduard Ilyasov
• Svetlana Ilyasova
• Albert Ilyayev, D.D.S
• Eitan Ilyayev, (PA)
• Emmanuil Ilyayev, DDS
• Daniela Ilyayeva, OTR/L

• Occupational Therapist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.