Peter Kofitsas, MS,PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA009227 Issued in NJ

Practice address

792 Rivervale Rd
Rivervale, NJ 07675-6122

Phone

(201) 637-3258

Fax

(201) 391-0580

NPI assigned

Sep 29, 2008

Last updated

Sep 29, 2008By the provider in NPPES

Sex

Male

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergen Physical Therapy LLCGroup PAC ID 1456623495, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Bergen Physical Therapy, LLC

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1013446954

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Chiropractic Works, LLC

  dba Oakland Spine and Physical Therapy

  • Chiropractor
  • Oakland, NJ
  • NPI 1043468895

  Physical Therapist

  Medicare reassignment NPD
• Davis Chiropractic Center LLC

  • Chiropractor
  • Montclair, NJ
  • NPI 1720104425
  NPD
• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263

  Physical Therapist

  NPD (past)
• The Back Pain Center, LLC

  • Specialist
  • Waldwick, NJ
  • NPI 1437256658
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1669622437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 RIVERVALE RD",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 RIVERVALE RD",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756122",
            "telephone_number": "201-637-3258",
            "fax_number": "201-391-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFITSAS",
        "first_name": "PETER",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA009227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yonina Kaplan, MS, CCC-SLP
• Kathryn Capawana, LCSW, Lcadc, LLC
• Zabrina Kearns
• Denise Keehn, PT, DPT
• Eric Marc Knapp, D.D.S.
• Rachel Nemzer Kravetz, OTR/L
• Eileen Kwon, RPH
• Trisha Lafronz, OTR
• Lara Baskin PHD LLC
• Heejun James Lee, L.AC.

• Physical Therapist in River Vale, NJ
• Providers in River Vale, 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 Sep 29, 2008; 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.