Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Efstartios Antoniadis, PT

Individual provider Physical Therapist · NPI 1871507707

Efstartios Antoniadis, PT is a Physical Therapist in Private Practice in Ridgewood, New York. Qualified in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6642 Forest Ave
Ridgewood, NY 11385-3153
Phone: (718) 821-4216
Fax: (718) 821-4253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 013057 (NY)

Record details

NPI number1871507707
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 28, 2006
Last updated in NPPESJanuary 31, 2011
Mailing address6642 Forest Ave, Ridgewood, NY 11385-3153

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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