NPIMap

Organization Active NPI

Dimitrios Kostopoulos Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1235398421
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0111881 Issued in NY
Legal business name
DIMITRIOS KOSTOPOULOS PHYSICAL THERAPY PC
Practice address
8012 3Rd Ave
Brooklyn, NY 11209-3802
Phone
(718) 491-5454
Fax
(718) 491-2995
NPI assigned
Jun 3, 2008
Last updated
Oct 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Dimitrios Kostopoulos, PT PHD DSCNPI 1801834734
Title
Owner
Phone
(718) 707-6970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0111881 NY Primary

Addresses

Primary practice location

8012 3Rd Ave
Brooklyn, NY 11209-3802

Mailing address

3270 31St St
Astoria, NY 11106-2643
Phone (718) 707-6970

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1235398421",
    "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": "8012 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093802",
            "telephone_number": "718-491-5454",
            "fax_number": "718-491-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRIOS KOSTOPOULOS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2013-10-01",
        "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": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0111881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.