Proadvantage Physical Therapy Incorporated
NPI 1003064452 · Physical Therapy Clinic/Center · Cliffside Park, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proadvantage Physical Therapy Incorporated is a Physical Therapy Clinic/Center organization in Cliffside Park, NJ (NPI 1003064452).
Provider details
- NPI number
- 1003064452
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yevgeny Fedosenko, Owner(617) 620-2137
- License
- 40QA01242600 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Proadvantage Physical Therapy Incorporated's NPI number?
- Proadvantage Physical Therapy Incorporated's National Provider Identifier (NPI) is 1003064452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proadvantage Physical Therapy Incorporated?
- Proadvantage Physical Therapy Incorporated is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proadvantage Physical Therapy Incorporated located?
- Proadvantage Physical Therapy Incorporated's practice location on file with NPPES is 200 Winston Dr Apt 119, Cliffside Park, NJ 07010-3209.
- What is Proadvantage Physical Therapy Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Proadvantage Physical Therapy Incorporated is (617) 620-2137.
- Does Proadvantage Physical Therapy Incorporated accept Medicare?
- Proadvantage Physical Therapy Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Proadvantage Physical Therapy Incorporated?
- The authorized official listed on Proadvantage Physical Therapy Incorporated's NPPES record is Yevgeny Fedosenko, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proadvantage Physical Therapy Incorporated's NPI active?
- Yes — Proadvantage Physical Therapy Incorporated's NPI (1003064452) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.