IGOR YATSKAR (M.S., P.T.) – Physical Therapist, NPI 1104848993
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IGOR YATSKAR (M.S., P.T.)
120 DUDLEY ST STE 201
PROVIDENCE, RI 029052431
Phone: (401) 941-1347
Fax: (617) 445-7874
Type: Location
120, Dudley Street, Providence, Providence County, Rhode Island, 02905, United States
STE 201
PROVIDENCE, RI 029052431
Phone: (617) 442-3462
Fax: (617) 445-7874
Type: Mailing
62, Warren Street, Roxbury, Boston, Suffolk County, Massachusetts, 02119, United States
ATLANTIS PHYSICAL THERAPY GROUP, INC.
ROXBURY, MA 021193248
Phone: (617) 442-0111
Fax: (617) 442-0110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-03-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040819001211 | I | Physical Therapist In Private Practice | RI | TBD |
| I20050331001071 | I | Physical Therapist In Private Practice | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02905)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | MA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 3301 | 116 |
| PHYSICAL THERAPY | MA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 1314 | 112 |
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