Individual provider Active NPI

Antonios Kambouris, DPT

  • Physical Therapist
  • Greenvale, NY
National Provider Identifier
1750662003
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033848 Issued in NY
Practice address
90 Northern Blvd
Greenvale, NY 11548-1213
Phone
(516) 626-5080
Fax
(516) 626-5081
NPI assigned
Aug 31, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 23

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.

View all 23

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic 529 clinicians

Practice addresses (Care Compare)

222 Mamaroneck Ave
FL 2
White Plains, NY 10605-1303
Phone (914) 948-3893

222 Westchester Ave
Suite 307
White Plains, NY 10604-2925
Phone (914) 688-7010

44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111027000367 NY Practitioner - Physical Therapist in Private Practice 3577736123 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033848NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Apr 1, 2024 Accepting new patients

Locations

576 Broadhollow Rd
Melville, NY 11747

3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816

16 E 52nd St
Fl 6
New York, NY 10022
Phone (212) 752-2400

22005 Hillside Ave
Queens Village, NY 11427
Phone (718) 400-8330

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

222 Mamaroneck Ave
Fl 2
White Plains, NY 10605
Phone (914) 948-3893

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033848 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

90 Northern Blvd
Greenvale, NY 11548-1213

Mailing address

90 Northern Blvd
Greenvale, NY 11548-1213
Phone (516) 626-5080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2011.

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1750662003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 NORTHERN BLVD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481213",
            "telephone_number": "516-626-5080",
            "fax_number": "516-626-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 NORTHERN BLVD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481213",
            "telephone_number": "516-626-5080",
            "fax_number": "516-626-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBOURIS",
        "first_name": "ANTONIOS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.