Individual provider Active NPI

Demetrios Hilas, P.T, D.P.T

  • Physical Therapist
  • Springfield, NJ
National Provider Identifier
1285040402
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01430400 Issued in NJ
Practice address
29 Rosewood Ave
Springfield, NJ 07081-4206
Phone
(973) 818-3059
NPI assigned
Jul 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01430400 NJ Primary

Addresses

Primary practice location

29 Rosewood Ave
Springfield, NJ 07081-4206

Mailing address

29 Rosewood Ave
Springfield, NJ 07081-4206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150202000577 NJ Practitioner - Physical Therapist in Private Practice 2466777057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

220 Pleasant Valley Way
HHRF at Brighton Gardens of West Orange
West Orange, NJ 07052-2997
Phone (973) 786-2232

5 Boroline Rd
Saddle River, NJ 07458-2343
Phone (856) 861-3548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01430400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 29, 2018 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 29, 2018 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Feb 1, 2020 Accepting new patients

Locations

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1285040402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ROSEWOOD AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070814206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ROSEWOOD AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070814206",
            "telephone_number": "973-818-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILAS",
        "first_name": "DEMETRIOS",
        "name_prefix": "Dr.",
        "credential": "P.T, D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01430400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.