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

Ksenia Petrushkina, PA

Individual provider Physician Assistant · NPI 1972119451

Ksenia Petrushkina, PA is a Physician Assistant in Sunny Isles Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

17121 Collins Ave Apt 1907
Sunny Isles Beach, FL 33160-4380
Phone: (786) 564-3612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1150989 (FL)

Record details

NPI number1972119451
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 19, 2020
Last updated in NPPESSeptember 19, 2020
Certification dateSeptember 19, 2020

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