NPIMap

Organization Active NPI

Catalyst Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Clearwater, FL
National Provider Identifier
1407522832
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CATALYST PHYSICAL THERAPY PLLC
Practice address
1206 Court Street
Clearwater, FL 33756-5802
Phone
(718) 707-6970
Fax
(929) 208-0767
NPI assigned
Aug 17, 2021
Last updated
Nov 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Dimitrios Kostopoulos, PT,PHD,DPT,ESCNPI 1801834734
Title
Officer/Partner
Phone
(718) 707-6970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1206 Court Street
Clearwater, FL 33756-5802

Mailing address

1206 Court St
Clearwater, FL 33756-5802
Phone (727) 286-8408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211116000170 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597154401 Receives reassigned benefits from 7 practitioners
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory
Tax ID family
Catalyst Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1407522832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 COURT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565802",
            "telephone_number": "727-286-8408",
            "fax_number": "727-286-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 COURT STREET",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565802",
            "telephone_number": "718-707-6970",
            "fax_number": "929-208-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "KOSTOPOULOS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_title_or_position": "OFFICER/PARTNER",
        "authorized_official_telephone_number": "718-707-6970",
        "authorized_official_credential": "PT,PHD,DPT,ESC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.