Individual provider Active NPI

Veronica Marie Yevsukov

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1841987864
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29788 Issued in MD
Practice address
1324 Belmont Ave Ste 101
Salisbury, MD 21804-4543
Phone
(410) 656-9953
NPI assigned
Apr 19, 2023
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29788 MD Primary

Addresses

Primary practice location

1324 Belmont Ave Ste 101
Salisbury, MD 21804-4543

Mailing address

1324 Belmont Ave Ste 101
Salisbury, MD 21804-4543
Phone (410) 656-9953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240220001818 MD Practitioner - Physical Therapist in Private Practice 4082058821 Reassigns benefits to 1 organization
I20251030000432 FL Practitioner - Physical Therapist in Private Practice 4082058821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Physical Therapy and Wellness LLCGroup PAC ID 4789860131, 24 clinicians

Practice addresses (Care Compare)

1324 Belmont Ave
Suite 101
Salisbury, MD 21804-4543
Phone (410) 656-9953

8000 Sr 64
Bradenton, FL 34212
Phone (941) 792-1404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29788MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedics & Sports Medicine of Southwest Florida PA CurrentSince Nov 17, 2025 Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Sage Physical Therapy & Wellness, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

6202 17th Ave W
Bradenton, FL 34209

8000 State Road 64 E
Bradenton, FL 34212
Phone 94179214043315

8340 Lakewood Ranch Blvd
Ste 300
Lakewood Ranch, FL 34202
Phone (941) 316-8200

1324 Belmont Ave
Ste 101
Salisbury, MD 21804
Phone (410) 656-9953

3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1841987864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 BELMONT AVE STE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044543",
            "telephone_number": "410-656-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BELMONT AVE STE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044543",
            "telephone_number": "410-656-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEVSUKOV",
        "first_name": "VERONICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.