Individual provider Active NPI

Thomas Joseph Polykarpous, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Bronx, NY
National Provider Identifier
1609222322
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
025981 Issued in NY
Practice address
2895 Roosevelt Avenue
Bronx, NY 10465-1028
Phone
(347) 245-4753
NPI assigned
May 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 008924 NY
Physical Rehabilitation Occupational Therapist 225XP0019X 025981 NY Primary

Addresses

Primary practice location

2895 Roosevelt Avenue
Bronx, NY 10465-1028

Mailing address

3170 Ampere Ave
Bronx, NY 10465-1028
Phone (347) 245-4753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830002226 NY Practitioner - Occupational Therapist in Private Practice 0143604843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Rehab Occupational and Physical TherapyGroup PAC ID 4082098785, 3 clinicians

Practice addresses (Care Compare)

2895 Roosevelt Ave
Bronx, NY 10465-2415
Phone (718) 233-8293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008924NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Rehab Occupational & Physical Therapy CurrentSince Jul 11, 2022 Accepting new patients

Locations

2895 Roosevelt Ave
Bronx, NY 10465
Phone (718) 233-8293

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1609222322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 AMPERE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651028",
            "telephone_number": "347-245-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 ROOSEVELT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651028",
            "telephone_number": "347-245-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYKARPOUS",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2022-07-13",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008924",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "025981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.