FRESH MEADOWS PT PLLC
NPI 1891449666
Physical Therapist in Fresh Meadows, NY

Active since February 09, 2022
7323 169TH ST, FRESH MEADOWS, NY 11366(347) 645-5105 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 22, 2022, Feb 9, 2022 (2 updates tracked since 2022).

About Fresh Meadows Pt Pllc NPPES

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

FRESH MEADOWS PT PLLC (NPI 1891449666) is a healthcare organization registered as a physical therapist in Fresh Meadows, New York and active in the NPI registry since February 2022. The organization lists Vladimir Davydov, Owner, as its authorized official.

NPPES Registry Identity

NPI1891449666
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFRESH MEADOWS PT PLLC
Location Address7323 169TH STFresh Meadows, NY 11366-1321
Mailing Address7323 169th StFresh Meadows, NY 11366-1321 · (347) 645-5105
Organization SubpartNo
Authorized OfficialVladimir DavydovOwner · (347) 645-5105
Enumeration DateFebruary 9, 2022
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1891449666 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
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.
7323 169TH ST, Fresh Meadows, NY 11366

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)

Fresh Meadows Pt Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fresh Meadows Pt PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1891020798
7323 169TH ST
Fresh Meadows, NY 11366
(347) 645-5105
Same address

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 Fresh Meadows Pt PLLC's NPI number?

The NPI number for Fresh Meadows Pt PLLC is 1891449666. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Fresh Meadows Pt PLLC located?

Fresh Meadows Pt PLLC is located at 7323 169th St, Fresh Meadows, NY 11366. The listed phone number is (347) 645-5105.

What is Fresh Meadows Pt PLLC's specialty?

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

Is Fresh Meadows Pt PLLC enrolled in Medicare?

Yes. Fresh Meadows Pt PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fresh Meadows Pt PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Fresh Meadows Pt PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fresh Meadows Pt PLLC was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.