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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1104160464

Viktoriya Khomenko, DPT is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2012, 14 years ago. Practices with Avantgarde Rehabilitation Limited Liability Company, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
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

520 Bloomingdale Rd
Staten Island, NY 10309-2061
Phone: (718) 605-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 035718 (NY)

Record details

NPI number1104160464
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 26, 2012
Last updated in NPPESNovember 26, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Avantgarde Rehabilitation Limited Liability Company — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Staten Island