Individual provider Active NPI

Dimos Tsigkakos, COTA/L

  • Occupational Therapy Assistant
  • Media, PA
National Provider Identifier
1801481213
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP009887 Issued in PA
Practice address
1048 W Baltimore Pike
Media, PA 19063-6300
Phone
(610) 891-3861
NPI assigned
Mar 8, 2021
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP009887 PA Primary

Addresses

Primary practice location

1048 W Baltimore Pike
Media, PA 19063-6300

Mailing address

36 Holly Hill Rd
Wilmington, DE 19809-1901
Phone (530) 218-7780

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dimos.Tsigkakos@selectrehab.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OP009887PAMDOccupational Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: dimos.tsigkakos@selectrehab.com

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1801481213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HOLLY HILL RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091901",
            "telephone_number": "530-218-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 W BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636300",
            "telephone_number": "610-891-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIGKAKOS",
        "first_name": "DIMOS",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP009887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dimos.Tsigkakos@selectrehab.com",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1048 W Baltimore Pike",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190636300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.