Dimitri Varvatsas, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050315 Issued in NY

Practice address

47 E Shore Rd
Halesite, NY 11743-1153

Phone

(516) 864-6609

NPI assigned

Jun 1, 2023

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1043903230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E SHORE RD",
            "city": "HALESITE",
            "state": "NY",
            "postal_code": "117431153",
            "telephone_number": "516-864-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E SHORE RD",
            "city": "HALESITE",
            "state": "NY",
            "postal_code": "117431153",
            "telephone_number": "516-864-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARVATSAS",
        "first_name": "DIMITRI",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Mitchell, RDN
• Kerry A O'Brien, MS, CCC-SLP
• Andrea Pinter-Polinsky, L.AC
• Catherine Rizzo
• Sarah Wilkes Satzman, LCSW
• Laureen E. Vizza, R-LCSW
• Alan Russell Weiss, PH.D.
• Wellform Nutrition & Regulatory Consulting Inc.
• Amy Lea Yavoski, DC, LMT
• Georgia Aris Yesmont, PH.D.

• Physical Therapist in Halesite, NY
• Providers in Halesite, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.