Individual provider Active NPI

James Emmanuel Trakis, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1376649087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027259-1 Issued in NY
Practice address
32 W 76TH St
Ground Floor
New York, NY 10023-8708
Phone
(267) 259-4825
Fax
(215) 595-1323
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027259-1 NY Primary
Physical Therapist 225100000X 40QA01141000 NJ

Addresses

Primary practice location

32 W 76TH St
Ground Floor
New York, NY 10023-8708

Mailing address

656 Steeplechase CT
Woodbury, NJ 08096-6819
Phone (267) 259-4825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000040 NJ Practitioner - Physical Therapist in Private Practice 9739135427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

704 E Main St
Suite H
Moorestown, NJ 08057-3071
Phone (856) 235-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01141000NJMDPhysical Therapist
027259-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Solutions Physical Therapist Past Accepting new patients
Physical Solutions a Professional Corp. Physical Therapist PastSince Aug 15, 1999 Accepting new patients

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376649087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 STEEPLECHASE CT",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080966819",
            "telephone_number": "267-259-4825",
            "fax_number": "856-853-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W 76TH ST",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238708",
            "telephone_number": "267-259-4825",
            "fax_number": "215-595-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAKIS",
        "first_name": "JAMES",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027259-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01141000",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 8, 2007; 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.