Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Costantinos Stamboulis, OTR/L

Individual provider Occupational Therapist · NPI 1003366576

Mr. Costantinos Stamboulis, OTR/L is an Occupational Therapist in Private Practice in Astoria, New York. Qualified in 2016, 10 years ago. Practices with Soma Physical and Occupational Therapy PLLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2408 32nd St Ste 1002D
Astoria, NY 11102-1139
Phone: (718) 734-2373
Fax: (718) 734-2372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2904 Bruckner Blvd, Bronx, NY 10465-2101 — (347) 515-6993

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 020698 (NY)

Record details

NPI number1003366576
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 9, 2016
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Soma Physical And Occupational Therapy Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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