Vladimir Fedosseev, PT, DPT
NPI 1023470093 · Physical Therapist · Staten Island, NY
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vladimir Fedosseev, PT, DPT is a Physical Therapist provider in Staten Island, NY (NPI 1023470093).
Provider details
- NPI number
- 1023470093
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 038352-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
890 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 382 | $35 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 219 | $28 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 202 | $25 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 52 | $23 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 19 | $112 |
| Re-Evaluation for Physical Therapy, Typically 20 Minutes97164 | 16 | $79 |
Practice location
Mailing address
Additional practice locations (3)
- 1050 Clove RoadStaten Island, NY 10301-3627Phone: (718) 816-6440Fax: (718) 420-2718
- 4771 Hylan BlvdStaten Island, NY 10312-6315Phone: (718) 948-8200Fax: (718) 420-2718
- 3371 Richmond AveLower Level SteStaten Island, NY 10312Phone: (718) 808-9337
Registry dates
- Enumerated
- 2016-03-28
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Frequently asked questions
- What is Vladimir Fedosseev's NPI number?
- Vladimir Fedosseev's National Provider Identifier (NPI) is 1023470093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vladimir Fedosseev's specialty?
- Vladimir Fedosseev is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Vladimir Fedosseev located?
- Vladimir Fedosseev's practice location on file with NPPES is 3371 Richmond Ave Lowr Level, Staten Island, NY 10312-2025.
- What is Vladimir Fedosseev's phone number?
- The practice phone number listed in the NPPES registry for Vladimir Fedosseev is (718) 808-9337.
- Does Vladimir Fedosseev accept Medicare?
- Vladimir Fedosseev is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vladimir Fedosseev's NPI active?
- Yes — Vladimir Fedosseev's NPI (1023470093) is active in the NPPES registry as of the last update on 2020-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.