Vlada Khanimov

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052909 Issued in NY

Practice address

945 Kings Highway
Brooklyn, NY 11223

Phone

(718) 258-3300

NPI assigned

Oct 17, 2024

Sex

Female

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

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians

Supreme Care Physical Therapy and Occupational Therapy PLLCGroup PAC ID 4385774694, 28 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.

• Supreme Care Physical Therapy and Occupational Therapy, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1841522190
  Medicare reassignment Care Compare group NPD
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1821819459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605",
            "telephone_number": "718-258-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 KINGS HIGHWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-258-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANIMOV",
        "first_name": "VLADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilyara Khanieva
• Pradeep K Khanijou, DDS
• Rita Khanijou, MD
• Emmanuel Khanimov
• Izick Khanimov, OPTICIAN
• Yuriy Khanimov
• Aleksandr Khanin, DPT
• Margarita Khanina, LCSW
• Genadi Khanis, LMT
• Renata Khanis

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Dec 4, 2025; 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.