Vladimir Davydov

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025594-1 Issued in NY

Practice address

7323 169TH St
Fresh Meadows, NY 11366-1321

Phone

(347) 645-5105

NPI assigned

Oct 9, 2009

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fresh Meadows PT PLLC

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1891449666
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1891020798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 169TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661321",
            "telephone_number": "347-645-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 169TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661321",
            "telephone_number": "347-645-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVYDOV",
        "first_name": "VLADIMIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025594-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sigalit Yaffa Davidov, OD
• Elona Davidova
• Emma Embuscado Davidson
• Brittney A Davis IX
• Rebecca Davydov
• Irina Davydova, RPH
• Noreen Nadine Dawkins, P.A.
• De Hui Corporation
• Yasmin De Leon
• Donald J Decker, LCSW

• Physical Therapist in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.