Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Yegorov, PT

Individual provider Physical Therapist · NPI 1295902617

Alexander Yegorov, PT is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2002, 24 years ago. Practices with Professional Care Physical Therapy PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

895 Hylan Blvd
Staten Island, NY 10305-2020
Phone: (718) 701-4545
Fax: (718) 816-5297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 024697 (NY)

Record details

NPI number1295902617
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 14, 2008
Last updated in NPPESJune 2, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Professional Care Physical Therapy Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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