ROSE FATTAKHOV DPT
NPI 1154200459
Physical Therapist in New Hyde Park, NY

Active since August 29, 2025Accepts Medicare Assignment
2091 HILLSIDE AVE, NEW HYDE PARK, NY 11040(516) 862-3360 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2026, Jan 15, 2026 (2 updates tracked since 2026).

About Rose Fattakhov Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE FATTAKHOV DPT (NPI 1154200459) is an individual physical therapist in New Hyde Park, New York, licensed in New York (054748) and active in the NPI registry since August 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1154200459
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameROSE FATTAKHOVCredential: DPT
Location Address2091 HILLSIDE AVENew Hyde Park, NY 11040-2612
Mailing Address2091 Hillside AveNew Hyde Park, NY 11040-2612 · (516) 862-3360
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 29, 2025
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1154200459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 054748
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2091 HILLSIDE AVE, New Hyde Park, NY 11040

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rose Fattakhov Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486159258
PECOS Enrollment IDI20250923003524

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
2091 HILLSIDE AVE
NEW HYDE PARK, NY 11040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Fattakhov's NPI number?

The NPI number for Rose Fattakhov is 1154200459. It was assigned to this individual provider in the NPPES registry on August 29, 2025.

Where is Rose Fattakhov located?

Rose Fattakhov practices at 2091 Hillside Ave, New Hyde Park, NY 11040. The listed phone number is (516) 862-3360.

What is Rose Fattakhov's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Rose Fattakhov enrolled in Medicare?

Yes. Rose Fattakhov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rose Fattakhov was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.