PROFESSIONAL CARE PHYSICAL THERAPY PC
NPI 1962646976
Physical Therapist in Staten Island, NY
About Professional Care Physical Therapy Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL CARE PHYSICAL THERAPY PC (NPI 1962646976) is a healthcare organization registered as a physical therapist in Staten Island, New York and active in the NPI registry since April 2009. The organization lists Alexander Yegorov, Physical Therapist/president, as its authorized official.
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.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Professional Care Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Professional Care Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Professional Care Physical Therapy PC's NPI number?
The NPI number for Professional Care Physical Therapy PC is 1962646976. It was assigned to this organization in the NPPES registry on April 22, 2009.
Where is Professional Care Physical Therapy PC located?
Professional Care Physical Therapy PC is located at 895 Hylan Blvd, Staten Island, NY 10305. The listed phone number is (718) 701-4545.
What is Professional Care Physical Therapy PC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Professional Care Physical Therapy PC enrolled in Medicare?
Yes. Professional Care Physical Therapy PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Care Physical Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Professional Care 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Professional Care Physical Therapy PC was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Professional Care Physical Therapy Pc · NPI 1962646976
Physical Therapist organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since April 22, 2009.
## Identity
- **NPI:** 1962646976 (Entity type: Organization)
- **Enumerated:** April 22, 2009
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Alexander Yegorov, PHYSICAL THERAPIST/PRESIDENT
## Practice location
- **Address:** 895 HYLAN BLVD, Staten Island, NY 10305-2020
- **Phone:** (718) 701-4545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1962646976) · Data from the CMS NPPES public registry.