Theramotion Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THERAMOTION PHYSICAL THERAPY PLLC

Practice address

3016 30TH Dr FL 2
Astoria, NY 11102-1874

Phone

(718) 279-9800

NPI assigned

Jul 18, 2022

Organization subpart

Yes

Parent organization

THERAMOTION PHYSICAL THERAPY PLLCAs reported in NPPES

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

Authorized official

Name

Kosta Kokolis, MSPTNPI 1851328330

Title

Physical Therapist

Phone

(718) 279-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Theramotion Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Bayside, NY
  • NPI 1134241698

  O20100422000948

  Same enrollment

Tax ID family

Theramotion PT PLLC2 organizations share this tax ID, including this one

Part of

Theramotion PT PLLC

Other organizations with this tax ID 1

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

• Theramotion Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Bayside, NY
  • NPI 1134241698
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Theramotion Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Bayside, NY
  • NPI 1134241698
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kosta Kokolis, M.S., P.T.

  • Physical Therapist
  • New York, NY
  • NPI 1851328330
  NPD Authorized official
• Shruti Pavankumar Mishra, MSPT

  • Physical Therapist
  • New York, NY
  • NPI 1396213872
  NPD
• Radion B Natanov, PT

  • Physical Therapist
  • New York, NY
  • NPI 1477097111
  NPD
• Joshua Grauer, DPT

  • Physical Therapist
  • Bayside, NY
  • NPI 1841470416
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1407581044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21426 41ST AVE STE 130",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612166",
            "telephone_number": "718-279-9800",
            "fax_number": "718-279-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 30TH DR FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-279-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAMOTION PHYSICAL THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAMOTION PHYSICAL THERAPY PLLC",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "KOKOLIS",
        "authorized_official_first_name": "KOSTA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-279-9800",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Provider Group
• Penelope Theodoropoulos
• Theracare
• Theracare & Wellness Physical Therapy,P.C
• Theracare & Wellness PT PC
• Therapeutic Resources
• Juanita Thomas-Saltus
• Abraham P. Thomas, LCSW
• Biju Kurian Thomas, PTA
• Dave Thomas, MD

• Physical Therapy Clinic/Center in Astoria, NY
• Providers in Astoria, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.