Demetrios Rotsides, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01848400 Issued in NJ

Practice address

195 RT 46, Suite 101
Unit B
Mine Hill, NJ 07803

Phone

(973) 598-5386

NPI assigned

Apr 12, 2019

Last updated

Dec 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Impact Physical Therapy and Sports RehabilitationGroup PAC ID 9234523184, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True Impact Physical Therapy & Sports Rehabilitation

  • Physical Therapist
  • Mine Hill, NJ
  • NPI 1194305888
  Medicare reassignment Care Compare group NPD Authorized official
• Mile High Physical Therapy Professional Corporation

  • Physical Therapist
  • Pine Brook, NJ
  • NPI 1730665662
  Medicare reassignment NPD
• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  Medicare reassignment NPD
• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233

  Physical Therapist

  Medicare reassignment NPD
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1063975399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WESTERN AVE",
            "address_2": "APT 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609364",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 RT 46, SUITE 101",
            "address_2": "UNIT B",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "07803",
            "telephone_number": "973-598-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTSIDES",
        "first_name": "DEMETRIOS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01848400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Pravata, BCBA
• Quality Bracing and Orthotics, LLC
• Andrea Riley, MA CCC-SLP
• Riverstone Therapies, LLC
• Andreas D Rotsides, M.D.
• Samantha Rose Saltarelli, FNP
• Vina Saraiya, M.D.
• Brianna Scherrer
• Tarun K Sharma, MD
• Margarita Sierra, MBA, RDN

• Physical Therapist in Mine Hill, NJ
• Providers in Mine Hill, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.