Provider Demographics
NPI:1992493266
Name:AKOPOV, OFELYA (PTA)
Entity type:Individual
Prefix:MRS
First Name:OFELYA
Middle Name:
Last Name:AKOPOV
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MS
Other - First Name:OFELYA
Other - Middle Name:
Other - Last Name:SARGSYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1537 ROYCE ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5883
Mailing Address - Country:US
Mailing Address - Phone:347-435-5042
Mailing Address - Fax:
Practice Address - Street 1:1537 ROYCE ST APT 2B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5883
Practice Address - Country:US
Practice Address - Phone:347-435-5042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009841-01225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant