Individual provider Active NPI

Tina Ann Dimopoulos, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1619368164
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT16843 Issued in CA
Practice address
153 E 87TH St Apt 1a
New York, NY 10128-2701
Phone
(212) 472-1000
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT16843 CA Primary

Addresses

Primary practice location

153 E 87TH St Apt 1a
New York, NY 10128-2701

Mailing address

401 E 74TH St Apt 10H
New York, NY 10021-3930
Phone (562) 881-6895

Other practice location 1

1310 W Stewart Dr Ste 203
Orange, CA 92868-3837
Phone (714) 771-8222

Other practice location 2

1523 Wellesley Ave
Los Angeles, CA 90025-3629
Phone (562) 881-6895

Other practice location 3

1932 14th St
Santa Monica, CA 90404-4605
Phone (310) 344-2276

Other practice location 4

830 Atlantic Ave
Long Beach, CA 90813-4513
Phone (562) 285-0149

Other names 1

  • Tina Ann Dimopoulos Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213000619 NY Practitioner - Occupational Therapist in Private Practice 8224378666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand in Hand Rehabilitation OT PCGroup PAC ID 1052352689, 14 clinicians

Practice addresses (Care Compare)

153 E 87TH St
Apt 1a
New York, NY 10128-2701
Phone (212) 472-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT16843CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse OT, P.L.L.C. CurrentSince Jul 22, 2025 Accepting new patients
Neuro Rehab Partners LLC CurrentSince Oct 28, 2018 Accepting new patients
Hand in Hand Rehabilitation, OT, PC CurrentSince Jan 10, 2025 Accepting new patients
Bienetre Medical PC Occupational Therapist CurrentSince Aug 9, 2025 Accepting new patients
Hand in Hand Rehabilitation, OT, PC Occupational Therapist CurrentSince Jan 10, 2025 Accepting new patients
St. Joseph Hospital of Orange PastSince Dec 1, 2019 Accepting new patients
Mental Health America of Los Angeles Past Accepting new patients

Locations

6133 Bristol Pkwy
Ste 200
Culver City, CA 90230
Phone (310) 337-7600

6345 Balboa Blvd
Ste 120
Encino, CA 91316
Phone (818) 881-7600

346 Westbury Ave
Carle Place, NY 11514
Phone (516) 333-1481

346 Westbury Ave
Ste 100
Carle Place, NY 11514

263 W End Ave
Apt 1C
New York, NY 10023
Phone (212) 562-3625

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

153 E 87th St
Apt 1A
New York, NY 10128
Phone (212) 360-6460

Organizations & group practices 7

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1619368164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 74TH ST APT 10H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213930",
            "telephone_number": "562-881-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E 87TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282701",
            "telephone_number": "212-472-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 W Stewart Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683837",
            "country_code": "US",
            "telephone_number": "714-771-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1523 Wellesley Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900253629",
            "country_code": "US",
            "telephone_number": "562-881-6895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1932 14th St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904044605",
            "country_code": "US",
            "telephone_number": "310-344-2276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908134513",
            "country_code": "US",
            "telephone_number": "562-285-0149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMOPOULOS",
        "first_name": "TINA",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT16843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "DIMOPOULOS",
            "middle_name": "ANN",
            "credential": "OTD, OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.