YELLOWSTONE PHYSICAL THERAPY PC
NPI 1386754695
Specialist in Woodhaven, NY

Active since August 30, 2006
8811 JAMAICA AVE, WOODHAVEN, NY 11421(718) 846-2300(718) 846-2333 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yellowstone Physical Therapy Pc NPPES

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

YELLOWSTONE PHYSICAL THERAPY PC (NPI 1386754695) is a healthcare organization registered as a specialist in Woodhaven, New York and active in the NPI registry since August 2006. The organization lists Gavril Malakov, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1386754695
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameYELLOWSTONE PHYSICAL THERAPY PC
Location Address8811 JAMAICA AVEWoodhaven, NY 11421-2039
Mailing Address8811 Jamaica AveWoodhaven, NY 11421-2039 · (718) 846-2300 · Fax (718) 846-2333
Fax(718) 846-2333
Organization SubpartNo
Authorized OfficialGavril MalakovPhysical Therapist · (718) 846-2300
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1386754695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8811 JAMAICA AVE, Woodhaven, NY 11421

Other Identifiers 2

Medicaid02006875NY
Medicare PIN03826CNY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yellowstone Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Yellowstone Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1487771085
8811 JAMAICA AVE
Woodhaven, NY 11421
(718) 846-2300
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1437664224
1072 HAVEMEYER AVE
Bronx, NY 10462
(718) 863-6200
9.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Yellowstone Physical Therapy PC's NPI number?

The NPI number for Yellowstone Physical Therapy PC is 1386754695. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Yellowstone Physical Therapy PC located?

Yellowstone Physical Therapy PC is located at 8811 Jamaica Ave, Woodhaven, NY 11421. The listed phone number is (718) 846-2300.

What is Yellowstone Physical Therapy PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Yellowstone Physical Therapy PC enrolled in Medicare?

Yes. Yellowstone Physical Therapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yellowstone Physical Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Yellowstone Physical Therapy PC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Yellowstone Physical Therapy PC was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.