Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vasiliki Rallatos-Drake, PT, DPT

Individual provider Physical Therapist · NPI 1639417363

Vasiliki Rallatos-Drake, PT, DPT is a Physical Therapist in Private Practice in Kenilworth, New Jersey. Qualified in 2004, 22 years ago. Practices with Innovative Foot and Ankle PA, a 7-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
22
Licensed in
NJ, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

528 Blvd
Kenilworth, NJ 07033-1657
Phone: (908) 276-6624
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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 40QA01391400 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 027283 (NY)

Record details

NPI number1639417363
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJanuary 31, 2013
Last updated in NPPESOctober 24, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Innovative Foot And Ankle Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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