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

Imanuel Fuzailov, PT

Individual provider Physical Therapist · NPI 1235379827

Imanuel Fuzailov, PT is a Physical Therapist in Private Practice in Bronx, New York. Qualified in 2008, 18 years ago. Practices with Optimal Rehabilitation Otandpt PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2009
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

721 Melrose Ave
Bronx, NY 10455-1121
Phone: (718) 554-0064
Fax: (718) 554-0221
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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 031215 (NY)

Record details

NPI number1235379827
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 23, 2009
Last updated in NPPESJanuary 17, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Optimal Rehabilitation Otandpt Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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