Vyacheslav Nisonov, DPT
- Affiliated sites
- 3
- Medical groups
- 4
- State license
- 1
- Year NPI issued
- 2019
- Practice address
- 5168 W Augusta Ave, Glendale, AZ 85301-1469
- Practice phone
- Call (651) 442-5094
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Petkov Bodywork Therapy
Physical therapy & rehab practice · Glendale, Arizona
Find Vyacheslav Nisonov's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Vyacheslav Nisonov is a physical therapist in Glendale, Arizona
Vyacheslav Nisonov practices at Petkov Bodywork Therapy in Glendale, Arizona.
Vyacheslav Nisonov's NPI, 1386294577, was assigned on September 19, 2019. Vyacheslav Nisonov holds New York license 041926.
- NPI
- 1386294577NPI Registry (opens in a new tab)
- NPI enumeration date
- September 19, 2019
- NPI status
- Active
- Practice phone
- (651) 442-5094
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 35
- Medical school graduation
- 2017
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Vyacheslav Nisonov practices at Petkov Bodywork Therapy in Glendale, Arizona
Vyacheslav Nisonov's primary practice is Petkov Bodywork Therapy, at 5168 W Augusta Ave, Glendale, AZ 85301-1469. The practice phone is (651) 442-5094.
- Petkov Bodywork Therapy5168 W Augusta Ave, Glendale, AZ 85301-1469Phone(651) 442-5094
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Vyacheslav Nisonov is affiliated with 3 sites of care and 4 medical groups
Vyacheslav Nisonov's primary practice is Petkov Bodywork Therapy in Glendale, Arizona. The medical group on file is Arizona Luna Care Physical Therapy. Dmand AI also links Vyacheslav Nisonov to 3 more medical groups and 2 group practices and clinics, each named with a free account.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Vyacheslav Nisonov's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Vyacheslav Nisonov practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Petkov Bodywork Therapy | Available with a free account |
| +2 more sites and 3 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Vyacheslav Nisonov is one of 4,111 physical therapists in Arizona
Physical therapist is Vyacheslav Nisonov's primary specialty in the NPI Registry, under taxonomy code 225100000X. Vyacheslav Nisonov is licensed in New York.
Specialties and state licenses
- Physical therapist, New YorkPrimary
Physical therapists near Vyacheslav Nisonov
Counts of physical therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Vyacheslav Nisonov's patients have a median age of 82
Across all payers, Dmand AI patient panel data puts Vyacheslav Nisonov's median patient age at 82, with 100% women.
Vyacheslav Nisonov's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 82
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
Sources for Vyacheslav Nisonov's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Vyacheslav Nisonov
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What is Vyacheslav Nisonov's NPI number?
Vyacheslav Nisonov's NPI number is 1386294577. It was assigned on September 19, 2019, and it is active in the NPI Registry.
What does Vyacheslav Nisonov specialize in?
Vyacheslav Nisonov is a physical therapist in Glendale, Arizona. The primary specialty in the NPI Registry is Physical Therapist (taxonomy code 225100000X).
Where does Vyacheslav Nisonov practice?
Vyacheslav Nisonov practices at 5168 W Augusta Ave, Glendale, AZ 85301-1469. Vyacheslav Nisonov's primary practice is Petkov Bodywork Therapy in Glendale, Arizona. Dmand AI also links Vyacheslav Nisonov to 3 medical groups and 2 group practices and clinics.
What is Vyacheslav Nisonov's office phone number?
The practice phone on file for Vyacheslav Nisonov is (651) 442-5094.
What is Vyacheslav Nisonov's medical license number?
Vyacheslav Nisonov holds New York license 041926.
What medical group is Vyacheslav Nisonov part of?
Vyacheslav Nisonov is linked to Arizona Luna Care Physical Therapy. Dmand AI links Vyacheslav Nisonov to 3 more medical groups.
How long has Vyacheslav Nisonov been practicing?
Vyacheslav Nisonov graduated from medical school in 2017, 9 years ago.
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