Tsambikos Anastasiou Dimitrakis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00442100 Issued in NJ

Practice address

405 Northfield Avenue
Suite 200
West Orange, NJ 07052

Phone

(973) 325-7212

Fax

(973) 325-7214

NPI assigned

Jul 9, 2006

Last updated

Apr 28, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlas Physical Therapy

  • Physical Therapist
  • West Orange, NJ
  • NPI 1881760627
  Medicare reassignment NPD Authorized official
• Asclepion Physical Therapy & Wellness LLC

  • Physical Therapist
  • Livingston, NJ
  • NPI 1124066626
  NPD (past)
• New Day Physical Therapy & Rehabilitation Center LLC

  • Orthopedic Physical Therapist
  • West Orange, NJ
  • NPI 1689699829
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1487687646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SUN VALLEY WAY",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "07932",
            "telephone_number": "973-735-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NORTHFIELD AVENUE",
            "address_2": "SUITE 200",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-325-7212",
            "fax_number": "973-325-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRAKIS",
        "first_name": "TSAMBIKOS",
        "middle_name": "ANASTASIOU",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00442100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487687646",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ozzie Alexander Diaz, MS, ATC
• Erik Dienna, M.D.
• Simon E Dike
• Lesley Dimarco
• Joseph Dimaria
• Kirsten Discepola, DPM
• Divine Touch Healthcare Services LLC
• David P Dobesh, MD
• Emile Sei Dolopei
• Gabriela Dominguez, PA-C

• Physical Therapist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.