1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Physical Therapist
  6. NPI Profile

DMITRY SHESTAKOVSKY DPT
NPI 1467502922
Physical Therapist - Orthopedic in Brooklyn, NY

Active since January 10, 2007Accepts Medicare Assignment
2327 83RD ST STE C, BROOKLYN, NY 11214(718) 996-9929(718) 265-1807 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dmitry Shestakovsky Dpt NPPES

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

DMITRY SHESTAKOVSKY DPT (NPI 1467502922) is an individual orthopedic provider in Brooklyn, New York, licensed in New York (020632-1) and active in the NPI registry since January 2007. He is a graduate of State University Of New York Downstate Medical Center (1999).

NPPES Registry Identity

NPI1467502922
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDMITRY SHESTAKOVSKYCredential: DPT
Location Address2327 83RD ST STE CBrooklyn, NY 11214-2749
Mailing Address444 Neptune Ave Apt 10mBrooklyn, NY 11224-4421 · (718) 996-9493
Phone(718) 996-9929
Fax(718) 265-1807
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1999
Enumeration DateJanuary 10, 2007
Last NPPES UpdateDecember 14, 2011
✔ NPI 1467502922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NY · 020632-1
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2327 83RD ST STE C, Brooklyn, NY 11214
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedQN1311NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dmitry Shestakovsky 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 ID2163681412
PECOS Enrollment IDI20120322000097

Medicare Billing Reassignment

Medicare enrollment records show Dmitry Shestakovsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Omega Physical Therapy,pc
Same address
Residential Treatment Facility, Physical Disabilities
2327 83RD ST STE C
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
NPI 1578798534 (718) 996-9929

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 2

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

OMEGA PHYSICAL THERAPY,PC
Residential Treatment Facility, Physical Disabilities
2327 83RD ST STE C
BROOKLYN, NY 11214
Kings County (718) 996-9929
DR. GALINA ZARETSKY M.D.
Internal Medicine
2327 83RD ST STE C
BROOKLYN, NY 11214
Kings County (718) 265-3003

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 Dmitry Shestakovsky's NPI number?

The NPI number for Dmitry Shestakovsky is 1467502922. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Dmitry Shestakovsky located?

Dmitry Shestakovsky practices at 2327 83rd St Ste C, Brooklyn, NY 11214. The listed phone number is (718) 996-9929.

What is Dmitry Shestakovsky's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Dmitry Shestakovsky enrolled in Medicare?

Yes. Dmitry Shestakovsky 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.

Which organization bills Medicare for Dmitry Shestakovsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dmitry Shestakovsky reassigns Medicare benefits to Omega Physical Therapy,pc (Brooklyn, NY). The 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 Dmitry Shestakovsky'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 Dmitry Shestakovsky was last updated on December 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.