Organization Active NPI

Hands-on Physical Therapy of Bayside PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1922272889
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011188-1 Issued in NY
Legal business name
HANDS-ON PHYSICAL THERAPY OF BAYSIDE PC
Practice address
8012 3Rd Ave
Brooklyn, NY 11209-3802
Phone
(718) 491-5454
Fax
(718) 491-2995
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dimitrios Kostopoulos, PT, PH.D
Title
Owner
Phone
(718) 707-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 011188-1 NY Primary

Addresses

Primary practice location

8012 3Rd Ave
Brooklyn, NY 11209-3802

Mailing address

3636 33Rd St
Suite 403
Astoria, NY 11106-2329
Phone (718) 707-6970

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1922272889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 33RD ST",
            "address_2": "SUITE 403",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "718-707-6970",
            "fax_number": "718-732-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093802",
            "telephone_number": "718-491-5454",
            "fax_number": "718-491-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS-ON PHYSICAL THERAPY OF BAYSIDE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "KOSTOPOULOS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-707-6970",
        "authorized_official_credential": "PT, PH.D"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011188-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.