Avantgarde Rehabilitation Limited Liability Company
NPI 1881937423ActiveOrganization· Physical Therapist· Staten Island, NY
Physical Therapist in Staten Island, New York, registered in NPPES in April 2013. The authorized official on file is Viktoriya Khomenko, DPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1881937423 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2013 |
| Last updated in NPPES | Jul 14, 2025 |
| Certified by provider | Jul 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 8002032 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY) |
|---|
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