Active NPI
Nestor Kopidis, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1336119940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011342
- Practice address
- 52 Vanderbilt Ave
Suite 1413
New York, NY 10017-3808 - Phone
- (212) 599-0099
- NPI assigned
- Jan 25, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011342 | NY | Primary |
Addresses
Primary practice location
52 Vanderbilt Ave
Suite 1413
New York, NY 10017-3808
Mailing address
1385 Boston Post Rd
Larchmont, NY 10538-3904
Phone (914) 834-7222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OXFORD | Other | NY | P2630857 |
| QN0401 | Other | NY | EMPIRE BC/BS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- New York, NY
- NPI 1700919966
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336119940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 BOSTON POST RD",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105383904",
"telephone_number": "914-834-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 VANDERBILT AVE",
"address_2": "SUITE 1413",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100173808",
"telephone_number": "212-599-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPIDIS",
"first_name": "NESTOR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P2630857",
"identifier": "OXFORD",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS NUMBER",
"identifier": "QN0401",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.