Individual provider Active NPI

Dean Kapetanakis, PT

  • Specialist
  • Clark, NJ
National Provider Identifier
1235196049
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00755100 Issued in NJ
Practice address
60 Walnut Ave
Suite 150
Clark, NJ 07066-1649
Phone
(732) 340-1012
Fax
(908) 237-0001
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA00755100 NJ Primary

Addresses

Primary practice location

60 Walnut Ave
Suite 150
Clark, NJ 07066-1649

Mailing address

4 Walter Foran Blvd
Suite 203
Flemington, NJ 08822-4664
Phone (908) 237-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000090 NJ Practitioner - Physical Therapist in Private Practice 4486558814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare Rehabilitation, LLCGroup PAC ID 7214998038, 69 clinicians

Practice addresses (Care Compare)

219 S St
Suite 250
New Providence, NJ 07974-2100
Phone (908) 273-1400

4 Walter E Foran Blvd
Suite 203
Flemington, NJ 08822-4666
Phone (908) 237-0000

60 Walnut Ave
Suite 180
Clark, NJ 07066-1647
Phone (732) 340-1012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00755100NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Rehabilitation, LLC Specialist CurrentSince May 1, 2004 Accepting new patients
Twin Boro Physical Therapy Associates, PA Past Accepting new patients
Twin Boro Physical Therapy Associates PA PastSince Jan 3, 2000 Accepting new patients

Locations

60 Walnut Ave
Ste 150
Clark, NJ 07066
Phone (732) 340-1012

60 Walnut Ave
Ste 180
Clark, NJ 07066
Phone (732) 340-1012

4 Walter E Foran Blvd
Ste 203
Flemington, NJ 08822
Phone (732) 340-1012

4 Walter E Foran Blvd
Flemington, NJ 08822
Phone 9082370000 ext. 90823

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235196049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALTER FORAN BLVD",
            "address_2": "SUITE 203",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224664",
            "telephone_number": "908-237-0000",
            "fax_number": "908-237-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WALNUT AVE",
            "address_2": "SUITE 150",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661649",
            "telephone_number": "732-340-1012",
            "fax_number": "908-237-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPETANAKIS",
        "first_name": "DEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00755100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.