Active NPIIndividual providerSole proprietor

Demetri Dimitriadis, PT, DPT

Physical Therapist in Cresskill, New Jersey

NPI Number1427336197
Practice location
100 Union Ave Ste 200, Cresskill, NJ 07626-2137
Fax
201-588-6059
Last updated
October 10, 2024

Demetri Dimitriadis is a Physical Therapist based in Cresskill, NJ. Demetri Dimitriadis practices in Cresskill, NJ and has the professional credentials of PT, DPT. The NPI Number for Demetri Dimitriadis is 1427336197 and holds a License No. 40QA01409300 (NJ). The current practice location address for Demetri Dimitriadis is 100 Union Ave Ste 200, Cresskill, NJ 07626-2137 and can be reached out via phone at 201-588-6290 and via fax at 201-588-6059.

Provider Profile Details

NPI Number
1427336197
Provider Name
Demetri Dimitriadis
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
100 Union Ave Ste 200, Cresskill, NJ 07626-2137
Phone Number
201-588-6290
Fax Number
201-588-6059
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
July 29, 2011
Last Update Date
October 10, 2024
Certification Date
October 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Union Ave Ste 200
Cresskill, NJ 07626-2137
Zip
07626-2137
Phone Number
201-588-6290
Fax Number
201-588-6059
Cresskill, NJ 07626Get directions →

Provider Business Mailing Address Details

Address
56 Jackson Ave
Haworth, NJ 07641-1450
City
Haworth
State
NJ
Zip
07641-1450
Phone Number
201-588-6290
Fax Number
201-588-6059

License Information

License Number (1)
40QA01409300
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
40QA01409300
License State (2)
NJ
Taxonomy (2)
Physical Therapist, Orthopedic · 2251X0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Demetri Dimitriadis, PT, DPT?

The NPI number of Demetri Dimitriadis, PT, DPT is 1427336197. It was assigned on July 29, 2011 and is currently active in the NPPES registry.

What is the specialty of Demetri Dimitriadis, PT, DPT?

Demetri Dimitriadis, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01409300.

Where does Demetri Dimitriadis, PT, DPT practice?

The practice location is 100 Union Ave Ste 200, Cresskill, NJ 07626-2137. The office can be reached at 201-588-6290 (phone) or 201-588-6059 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427336197 directly on the NPPES registry website.

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