Talaria Physical Therapy LLC
NPI 1275050619ActiveOrganization· Physical Therapist· Cresskill, NJ
Physical Therapist in Cresskill, New Jersey, registered in NPPES in August 2017. The authorized official on file is Demetri E. Dimitriadis, PT, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1275050619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2017 |
| Last updated in NPPES | Oct 9, 2024 |
| Certified by provider | Oct 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01409300 | NJ |
| Physical Therapist, Sports | 2251S0007X | 40QA01409300 | NJ |
| Physical Therapist, Orthopedic | 2251X0800X | 40QA01409300 | NJ |
| Clinic/Center, Physical Therapy | 261QP2000X | 40QA01409300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NJ) |
|---|
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