Individual provider Active NPI

Simone Trintis Volikas, MPT

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1083660914
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19915 Issued in MD
Practice address
6410 Rockledge Dr
Suite Number 301
Bethesda, MD 20817-1809
Phone
(301) 897-0357
Fax
(301) 897-2148
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19915 MD Primary

Addresses

Primary practice location

6410 Rockledge Dr
Suite Number 301
Bethesda, MD 20817-1809

Mailing address

3835 9TH St N
Condo 504W
Arlington, VA 22203-1931
Phone (703) 527-8565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213002617 MD Practitioner - Physical Therapist in Private Practice 3678675451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19915MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Sports Medicine & Rehabilitation, LLC CurrentSince Nov 4, 2023 Accepting new patients
Lifebridge Sports Medicine and Rehabilitation LLC Current Accepting new patients
Bethesda Physical Therapy Physical Therapist PastSince Feb 20, 2017 Accepting new patients

Locations

1393 Progress Way
Ste 907
Eldersburg, MD 21784
Phone (410) 549-4960

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083660914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 9TH ST N",
            "address_2": "CONDO 504W",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031931",
            "telephone_number": "703-527-8565",
            "fax_number": "301-897-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE NUMBER 301",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-897-0357",
            "fax_number": "301-897-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLIKAS",
        "first_name": "SIMONE",
        "middle_name": "TRINTIS",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.