Physiocare Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011188-1 Issued in NY

Legal business name

PHYSIOCARE PHYSICAL THERAPY, PC

Practice address

57 W 57TH St
Suite 1406
New York, NY 10019-2802

Phone

(212) 399-3800

Fax

(212) 399-3822

NPI assigned

Oct 17, 2008

Organization subpart

No

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

Authorized official

Name

Dimitrios Kostopoulos, PT, PHD, DSC

Title

Owner

Phone

(718) 707-6970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1154573400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062643",
            "telephone_number": "718-707-6970",
            "fax_number": "718-732-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST",
            "address_2": "SUITE 1406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192802",
            "telephone_number": "212-399-3800",
            "fax_number": "212-399-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOCARE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "KOSTOPOULOS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-707-6970",
        "authorized_official_credential": "PT, PHD, DSC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011188-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in New York, NY
• Providers in New York, 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 Mar 11, 2009; 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.