Individual provider Active NPI

Dimitrios Kostopoulos, PT, PHD, DSC, ECS

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1801834734
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011188-1 Issued in NY
Practice address
3244 31St St
Astoria, NY 11106-2561
Phone
(718) 707-6970
Fax
(929) 208-0767
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT11118 FL
Physical Therapist 225100000X 011188-1 NY Primary

Addresses

Primary practice location

3244 31St St
Astoria, NY 11106-2561

Mailing address

3244 31St St
Astoria, NY 11106-2561
Phone (718) 707-6970

Other practice location 1

1206 Court St
Clearwater, FL 33756-5802
Phone (727) 286-8408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040624000034 NY Practitioner - Physical Therapist in Private Practice 9739164856 Reassigns benefits to 9 organizations
I20150325000293 FL Practitioner - Physical Therapist in Private Practice 9739164856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians
In-Motion Physical Therapy PCGroup PAC ID 1254421282, 6 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

13261 41St Rd
Apt 201
Flushing, NY 11355-4284
Phone (708) 707-6970

3244 31St St
Astoria, NY 11106-2561
Phone (718) 707-6970

341 Jerusalem Ave
Hicksville, NY 11801-5549
Phone (718) 707-6970

7160 Yellowstone Blvd
Forest Hills, NY 11375-4114
Phone (718) 707-6970

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PT11118FLMDPhysical Therapist
011188-1NYMDPhysical Therapist
011188NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Agewell Physical Therapy and Wellness, P.C. Physical Therapist CurrentSince Sep 14, 2017 Accepting new patients
Pro Form Physical Therapy PC CurrentSince Oct 8, 2019 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Jan 4, 2026 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Jan 4, 2026 Accepting new patients
Catalyst Physical Therapy PLLC Physical Therapist CurrentSince Oct 4, 2021 Accepting new patients
In-Motion Physical Therapy, P.C. CurrentSince Dec 1, 2006 Accepting new patients
Panetta Physical Therapy, PC Physical Therapist CurrentSince Jan 12, 2015 Accepting new patients
Dynamic Physical Therapy Services PC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
Hillside Polymedic Diagnostic & Treatment Center Inc CurrentSince Mar 25, 2025 Accepting new patients
Transformative Medical Health Nyc PLLC Current Accepting new patients
Catalyst Physical Therapy PLLC Physical Therapist Current Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Jul 29, 2025 Accepting new patients
Therapy-in-Motion Physical Therapy & Rehabilitation Services, PC CurrentSince Mar 16, 2016 Accepting new patients
In-Motion Physical Therapy PC CurrentSince Dec 1, 2006 Accepting new patients
Hands on Physical Therapy of Bayside, PC Physical Therapist Past Accepting new patients
Island Renal Physicians PC Past Accepting new patients
Prine Health Medical Group, PLLC Past Accepting new patients
In-Motion Physical Therapy,PC Past Accepting new patients
Hands on Physical Therapy of Bayside PC Physical Therapist Past Accepting new patients
Soni Care Physical Therapy PC Physical Therapist Past Accepting new patients
Hands on Physical Therapy, PC Physical Therapist Past Accepting new patients
Alec O. Hochstein, D.P.M., P.C. Past Accepting new patients
Physiocare Physical Therapy Physical Therapist Past Accepting new patients
Concepts in Rehab Inc PastSince Oct 6, 2017 Accepting new patients
Louis Swartz MD PC PastSince May 1, 2005 Accepting new patients
Hillside Polymedic P.C. Past Accepting new patients
Douglas O T Services P.C. Physical Therapist Past Accepting new patients

Locations (25 of 38)

1206 Court St
Clearwater, FL 33756
Phone (727) 286-8408

3270 31st St
Astoria, NY 11106
Phone (718) 626-2699

3636 33rd St
Ste 403
Astoria, NY 11106
Phone (718) 224-2867

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

250 Pettit Ave
Ste 4
Bellmore, NY 11710
Phone (516) 409-0106

250 Pettit Ave
Ste 101
Bellmore, NY 11710

250 Pettit Ave
Ste 2
Bellmore, NY 11710
Phone (516) 387-7463

1800 White Plains Rd
Bronx, NY 10462
Phone (347) 696-0752

3867 E Tremont Ave
Bronx, NY 10465
Phone (332) 246-0507

3555 Bainbridge Ave
Bronx, NY 10467
Phone (718) 652-3535

616 Castle Hill Ave
Bronx, NY 10473
Phone (718) 239-9013

8012 3rd Ave
Brooklyn, NY 11209
Phone (718) 491-5454

283 Commack Rd
Ste 325
Commack, NY 11725
Phone (631) 486-6672

4343 Kissena Blvd
Ste 110
Flushing, NY 11355
Phone (718) 463-1515

155 W Merrick Rd
Ste 202
Freeport, NY 11520
Phone (516) 546-2448

877 Stewart Ave
Ste 16
Garden City, NY 11530
Phone (516) 431-0700

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

560 Northern Blvd
Ste 101
Great Neck, NY 11021
Phone (516) 466-6165

600 Northern Blvd
Ste 115
Great Neck, NY 11021
Phone (516) 466-6760

900 Northern Blvd
Ste 245
Great Neck, NY 11021
Phone (516) 482-4343

1800 Rockaway Ave
Ste 212
Hewlett, NY 11557
Phone (516) 407-2727

400 S Oyster Bay Rd
Ste 308
Hicksville, NY 11801
Phone (516) 365-5570

120 Bethpage Rd
Ste 306
Hicksville, NY 11801
Phone (516) 359-3720

18730 Hillside Ave
Jamaica, NY 11432
Phone (718) 264-1111

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1458/brand/1/csg/1/fhir/r4

Organizations & group practices 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1801834734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062561",
            "telephone_number": "718-707-6970",
            "fax_number": "718-707-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062561",
            "telephone_number": "718-707-6970",
            "fax_number": "929-208-0767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 Court St",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337565802",
            "country_code": "US",
            "telephone_number": "727-286-8408",
            "fax_number": "727-286-6048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTOPOULOS",
        "first_name": "DIMITRIOS",
        "name_prefix": "Dr.",
        "credential": "PT, PHD, DSC, ECS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11118",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011188-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.