Polixeni Katsaros, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA 00412400 Issued in NJ

Practice address

33 Danville Mountain Rd
Great Meadows, NJ 07838-2106

Phone

(973) 670-6206

Fax

(908) 637-8173

NPI assigned

Mar 27, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Jersey Physical Therapy Associates Inc.Group PAC ID 7315992542, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• North Jersey Physical Therapy Associates, Inc.

  • Physical Therapist
  • Hackettstown, NJ
  • NPI 1437332046
  Medicare reassignment Care Compare group NPD
• Flannery Physical Therapy Limited Partnership

  dba Physical Therapy Plus

  • Physical Therapy Clinic/Center
  • Hackettstown, NJ
  • NPI 1598877938

  Physical Therapist

  NPD (past)
• Kane Wound Care LLC

  dba d/b/a Princeton Wound Care Center

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1275869802
  NPD (past)
• On Site Dermatology of New Jersey, LLC

  • Dermatology Physician
  • Cherry Hill, NJ
  • NPI 1811389539
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1639139082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DANVILLE MT RD",
            "city": "GREAT MEADOWS",
            "state": "NJ",
            "postal_code": "07838",
            "telephone_number": "908-637-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DANVILLE MOUNTAIN RD",
            "city": "GREAT MEADOWS",
            "state": "NJ",
            "postal_code": "078382106",
            "telephone_number": "973-670-6206",
            "fax_number": "908-637-8173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Schooleys Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078404002",
            "country_code": "US",
            "telephone_number": "908-852-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSAROS",
        "first_name": "POLIXENI",
        "name_prefix": "Ms.",
        "credential": "PT DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA 00412400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rose Fiedler-Giordano, AGNP
• Foundations 4 Function, LLC
• Gleam Together, LLC.
• Great Meadows Emergency Medical Service
• Great Meadows Regional School District
• Natalka Kitts
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• New Avenues LLC
• Rebecca Shaw
• SMC Med PA

• Physical Therapist in Great Meadows, NJ
• Providers in Great Meadows, 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 Oct 31, 2019; 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.