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

Roman Omelchenko, DPT

Individual provider Physical Therapist · NPI 1639837537

Roman Omelchenko, DPT is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2021, 5 years ago. Practices with Rb Physical and Occupational Therapy, PLLC, a 312-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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

31 New Dorp Ln
Staten Island, NY 10306-2351
Phone: (718) 979-4466
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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 048350 (NY)

Record details

NPI number1639837537
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 8, 2021
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021
Mailing address981 Us Highway 22 Fl 2, Bridgewater, NJ 08807-2946

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rb Physical And Occupational Therapy, Pllc — 312 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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