Individual provider Active NPI

Dana Simone Protopapas, PT, DPT

  • Physical Therapist
  • Purchase, NY
National Provider Identifier
1144749367
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042266 Issued in NY
Practice address
2900 Westchester Ave Ste 108
Purchase, NY 10577-2551
Phone
(914) 223-9222
NPI assigned
Sep 19, 2017
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 042266 NY Primary

Addresses

Primary practice location

2900 Westchester Ave Ste 108
Purchase, NY 10577-2551

Mailing address

3067 Shore Rd
Bellmore, NY 11710-4836

Other practice location 1

3067 Shore Rd
Bellmore, NY 11710-4836
Phone (516) 241-8799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730004577 NJ Practitioner - Physical Therapist in Private Practice 4587075247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Home Therapy LLCGroup PAC ID 1254746340, 50 clinicians

Practice addresses (Care Compare)

70 S Orange Ave
Suite 220
Livingston, NJ 07039-4920
Phone (917) 751-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea E Nomberg Physician PC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Life Home Therapy LLC Physical Therapist CurrentSince May 4, 2025 Accepting new patients

Locations

70 S Orange Ave
Ste 220
Livingston, NJ 07039
Phone (973) 626-2350

622 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1144749367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 SHORE RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WESTCHESTER AVE STE 108",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772551",
            "telephone_number": "914-223-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3067 Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117104836",
            "country_code": "US",
            "telephone_number": "516-241-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROTOPAPAS",
        "first_name": "DANA",
        "middle_name": "SIMONE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.