Individual provider Active NPI

Fotis Tsolis, BS PT

  • Physical Therapist
  • Bayside, NY
National Provider Identifier
1871697144
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021328 Issued in NY
Practice address
222 15 Northern Blvd
Suite LLC
Bayside, NY 11361
Phone
(718) 225-7500
Fax
(718) 225-7555
NPI assigned
Sep 8, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021328 NY Primary

Addresses

Primary practice location

222 15 Northern Blvd
Suite LLC
Bayside, NY 11361

Mailing address

222 15 Northern Blvd
Suite LLC
Bayside, NY 11361
Phone (718) 225-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000024 NY Practitioner - Physical Therapist in Private Practice 5496713109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy Ny PCGroup PAC ID 3971643750, 6 clinicians

Practice addresses (Care Compare)

22215 Northern Blvd
Suite LLC
Bayside, NY 11361-3603
Phone (718) 225-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Occupational & Physical Therapy PLLC Physical Therapist Current Accepting new patients
Elite Physical Therapy Ny PC Physical Therapist CurrentSince Sep 1, 2002 Accepting new patients

Locations

2309 31st St
Astoria, NY 11105
Phone (718) 423-2020

22215 Northern Blvd
Ste Llc
Bayside, NY 11361
Phone (718) 225-7500

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1871697144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 15 NORTHERN BLVD",
            "address_2": "SUITE LLC",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-225-7500",
            "fax_number": "718-225-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 15 NORTHERN BLVD",
            "address_2": "SUITE LLC",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-225-7500",
            "fax_number": "718-225-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSOLIS",
        "first_name": "FOTIS",
        "name_prefix": "Mr.",
        "credential": "BS PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.