MIKHAIL ILYASOV OTR/L
NPI 1780260018
Occupational Therapist in Rego Park, NY

Active since March 18, 2021Accepts Medicare Assignment
9508 QUEENS BLVD STE 1E, REGO PARK, NY 11374(718) 275-2669(718) 275-2686 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mikhail Ilyasov Otr/l NPPES

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

MIKHAIL ILYASOV OTR/L (NPI 1780260018) is an individual occupational therapist in Rego Park, New York, licensed in New York (025495) and active in the NPI registry since March 2021. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1780260018
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMIKHAIL ILYASOVCredential: OTR/L
Location Address9508 QUEENS BLVD STE 1ERego Park, NY 11374-1151
Mailing Address14765 Hoover AveBriarwood, NY 11435-2139 · (718) 612-5634 · Fax (718) 275-2686
Fax(718) 275-2686
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
✔ NPI 1780260018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NY · 025495
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
9508 QUEENS BLVD STE 1E, Rego Park, NY 11374

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

Mikhail Ilyasov Otr/l 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 ID2769890524
PECOS Enrollment IDI20210415000284

Medicare Billing Reassignments

4

Medicare enrollment records show Mikhail Ilyasov reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
9508 QUEENS BLVD STE 1E
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
Occupational Therapist
174 BAY 29TH ST
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
  • 140 clinicians in this Medicare group
Occupational Therapist
800 E GATE BLVD
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • 711 clinicians in this Medicare group
Occupational Therapist
288 SAND LN STE 1
Staten Island, NY 10305
  • Reassigned Medicare billing, New York enrollment
  • 7 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,352 services50 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,258 services47 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
255 services12 patients
Evaluation for occupational therapy, typically 45 minutes 97166
An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.
32 services31 patients
Evaluation for occupational therapy, typically 1 hour 97167
An evaluation for occupational therapy is a process that assesses your ability to perform daily life tasks. This one-hour session looks at your physical, cognitive, and emotional abilities. It helps tailor a personalized therapy plan to improve your functional skills.
14 services14 patients

Other Providers at the Same Location NPPES

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

Occupational Therapist
9508 QUEENS BLVD STE 1E
REGO PARK, NY 11374

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 Mikhail Ilyasov's NPI number?

The NPI number for Mikhail Ilyasov is 1780260018. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Where is Mikhail Ilyasov located?

Mikhail Ilyasov practices at 9508 Queens Blvd Ste 1E, Rego Park, NY 11374. The listed phone number is (718) 275-2669.

What is Mikhail Ilyasov's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Mikhail Ilyasov enrolled in Medicare?

Yes. Mikhail Ilyasov 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 organizations bill Medicare for Mikhail Ilyasov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikhail Ilyasov reassigns Medicare benefits to 4 organizations: Occupational Therapy Nest PLLC (Rego Park, NY), Rehab On Wheels Ot Pt PLLC (Brooklyn, NY), Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC (Garden City, NY) and Provider Rehab, Ot. P.C. (Staten Island, NY). 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 Mikhail Ilyasov'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 Mikhail Ilyasov was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.