Individual provider Active NPI

Viktoriya Kulyk, PT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1902428717
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053252 Issued in NY
Practice address
4160 Main St
Flushing, NY 11355-3833
Phone
(917) 602-5414
Fax
(718) 732-1307
NPI assigned
May 14, 2020
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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 053252 NY Primary

Addresses

Primary practice location

4160 Main St
Flushing, NY 11355-3833

Mailing address

214 9TH St
Hicksville, NY 11801-5446
Phone (917) 602-5414

Other practice location 1

13618 39th Ave
Flushing, NY 11354-5400
Phone (917) 602-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210326001638 NY Practitioner - Physical Therapist in Private Practice 5890102495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053252NYMDGeneral Practice Dentistry
105013NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Share a Smile Physical Therpay PC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Passion PT PC CurrentSince Sep 8, 2025 Accepting new patients

Organizations & group practices 2

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1902428717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 9TH ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015446",
            "telephone_number": "917-602-5414",
            "fax_number": "718-732-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553833",
            "telephone_number": "917-602-5414",
            "fax_number": "718-732-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13618 39th Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545400",
            "country_code": "US",
            "telephone_number": "917-602-5414",
            "fax_number": "718-732-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULYK",
        "first_name": "VIKTORIYA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.