Individual provider Active NPI

Thomas J. Karanasios, PT

  • Physical Therapist
  • Derry, NH
National Provider Identifier
1467409177
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1269 Issued in NH
Practice address
6 Tsienneto Rd
Suite 201
Derry, NH 03038-1584
Phone
(603) 437-3338
Fax
(603) 437-3255
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1269 NH Primary

Addresses

Primary practice location

6 Tsienneto Rd
Suite 201
Derry, NH 03038-1584

Mailing address

6 Tsienneto Rd
Suite 201
Derry, NH 03038-1584
Phone (603) 437-3338

Other identifiers 2

IdentifierTypeStateIssuer
0805157Y0NH01OtherNHANTHEM
30398120MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000527 NH Practitioner - Physical Therapist in Private Practice 7719901503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derry Sports and Rehab LLCGroup PAC ID 1052666807, 6 clinicians

Practice addresses (Care Compare)

45 Danville Rd
East Hampstead, NH 03826-2451
Phone (603) 382-0019

55 Bridge St
Manchester, NH 03101-1603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1269NHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Derry Sports & Rehab, LLC Physical Therapist CurrentSince Jan 5, 1998 Accepting new patients
Coppola Physical Therapy and Fitness Gym LLC Physical Therapist PastSince Jun 1, 2009 Accepting new patients

Locations

23 Crystal Ave
Unit 2A
Derry, NH 03038
Phone (603) 437-3338

45 Danville Rd
East Hampstead, NH 03826
Phone (603) 382-0019

55 Bridge St
Manchester, NH 03101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1467409177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 201",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-437-3338",
            "fax_number": "603-437-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 201",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-437-3338",
            "fax_number": "603-437-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANASIOS",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0805157Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30398120",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.