VYACHESLAV NISONOV DPT
NPI 1386294577
Physical Therapist in Brooklyn, NY
About Vyacheslav Nisonov Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VYACHESLAV NISONOV DPT (NPI 1386294577) is an individual physical therapist in Brooklyn, New York, licensed in New York (041926) and active in the NPI registry since September 2019.
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vyacheslav Nisonov Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Vyacheslav Nisonov reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11207
- Reassigned Medicare billing, New York enrollment
- 178 clinicians in this Medicare group
Brooklyn, NY 11223
- Reassigned Medicare billing, New York enrollment
- 125 clinicians in this Medicare group
Glendale, AZ 85302
- Reassigned Medicare billing, Arizona enrollment
- 22 clinicians in this Medicare group
Peoria, AZ 85381
- Reassigned Medicare billing, Arizona enrollment
- 273 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11206
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 Vyacheslav Nisonov's NPI number?
The NPI number for Vyacheslav Nisonov is 1386294577. It was assigned to this individual provider in the NPPES registry on September 19, 2019. The provider is also known as Slava Nisonov Dpt.
Where is Vyacheslav Nisonov located?
Vyacheslav Nisonov practices at 49 Montrose Ave, Brooklyn, NY 11206. The listed phone number is (718) 473-3808.
What is Vyacheslav Nisonov's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Vyacheslav Nisonov enrolled in Medicare?
Yes. Vyacheslav Nisonov is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Vyacheslav Nisonov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vyacheslav Nisonov reassigns Medicare benefits to 4 organizations: Esd Pt Ot & Slp PLLC (Brooklyn, NY), Core Physical Therapy Services PC (Brooklyn, NY), Petkov Bodywork Therapy, LLC (Glendale, AZ) and Arizona Luna Care Physical Therapy, LLC (Peoria, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vyacheslav Nisonov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vyacheslav Nisonov was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.