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

Timofey Rubanyuk, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1780249565

Timofey Rubanyuk, DPT is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2016, 10 years ago. Practices with Garden State Physical Therapy Group PC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

82 Lamberts Ln
Staten Island, NY 10314-7210
Phone: (718) 477-5479
Fax: (844) 364-6375
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 041386 (NY)

Record details

NPI number1780249565
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Garden State Physical Therapy Group Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Staten Island