Active NPI
John Steve Eftimiades, PT
- Physical Therapist
- Chevy Chase, MD
National Provider Identifier
1447377189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16614
- Practice address
- 5480 Wisconsin Ave
Suite B1
Chevy Chase, MD 20815-3530 - Phone
- (301) 598-7010
- Fax
- (301) 598-1690
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 16614 | MD | Primary |
Addresses
Primary practice location
5480 Wisconsin Ave
Suite B1
Chevy Chase, MD 20815-3530
Mailing address
14600 King Lear CT
Silver Spring, MD 20906-2657
Phone (301) 598-7010
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16614 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kibbey and Terle PT LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447377189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14600 KING LEAR CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062657",
"telephone_number": "301-598-7010",
"fax_number": "301-598-1690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"address_2": "SUITE B1",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "301-598-7010",
"fax_number": "301-598-1690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFTIMIADES",
"first_name": "JOHN",
"middle_name": "STEVE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.