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

Mr. Stanislav Sannikov, DPT

Individual provider Physical Therapist · NPI 1417771130

Mr. Stanislav Sannikov, DPT is a Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2024, 2 years ago. Practices with First Aid PT PC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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

86 Bay 26th St Apt A2
Brooklyn, NY 11214-4946
Phone: (929) 428-2414
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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 052838-01 (NY)

Record details

NPI number1417771130
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateOctober 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice First Aid Pt Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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