Kostas D Koutsoubis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0220661 Issued in NY

Practice address

16214 45TH Ave
Flushing, NY 11358-3109

Phone

(718) 939-7171

Fax

(718) 661-2057

NPI assigned

May 21, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

82.81 of 100Reported as individual

Quality

78.33

Improvement activities

40

Cost

71.58

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Nyc Physical Rehabilitation Inc.

  • Physical Therapist
  • Flushing, NY
  • NPI 1114860913
  NPD Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144439795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16214 45TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583109",
            "telephone_number": "718-939-7171",
            "fax_number": "718-661-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16214 45TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583109",
            "telephone_number": "718-939-7171",
            "fax_number": "718-661-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTSOUBIS",
        "first_name": "KOSTAS",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0220661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "QM7371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew R Korsen, MD
• Jonathan Kosowsky
• Jennifer Cordon Kostela, M.D.
• Olga Kotsidis-Dakis, RPH
• Nina Kouprina, MD
• Michael Koutsoyiannis, MD
• Gabriel Koyenov, LMFT
• Milana Koyenova, MS SPECIAL EDUCATION
• Shifra Shira Koynov
• Alexandria Maria Kozak

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.