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

Mr. Boris Polonskiy, DPT

Individual provider Physical Therapist · NPI 1710910112

Mr. Boris Polonskiy, DPT is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida, New Jersey and New York.

Years since qualifying
24
Licensed in
FL, NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1835 Richmond Rd
Staten Island, NY 10306-2560
Phone: (718) 502-5271
Fax: (718) 701-1188
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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 028006 (NY)
Physical Therapist Taxonomy 225100000X · Licence PT38484 (FL)
Physical Therapist Taxonomy 225100000X · Licence 40QA01591600 (NJ)

Record details

NPI number1710910112
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJuly 9, 2006
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Staten Island