John Dimarhos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00914300 Issued in NJ

Practice address

3663 US Highway 9
Suite 101
Old Bridge, NJ 08857-3517

Phone

(732) 591-5858

Fax

(732) 591-9141

NPI assigned

Apr 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467672915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 US HIGHWAY 9",
            "address_2": "SUITE 101",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573517",
            "telephone_number": "732-591-5858",
            "fax_number": "732-591-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 US HIGHWAY 9",
            "address_2": "SUITE 101",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573517",
            "telephone_number": "732-591-5858",
            "fax_number": "732-591-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARHOS",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00914300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.

Verify at the official NPI Registry.