MR. JOHN PETROS DOUZEPIS (PT) – Physical Therapist, NPI 1164533881

MR. JOHN PETROS DOUZEPIS (PT) is a healthcare provider. based in Malden, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 10453 (MA). The NPI Number for MR. JOHN PETROS DOUZEPIS (PT) is 1164533881

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN PETROS DOUZEPIS (PT)
NPI
1164533881
Phone
(781) 321-8785
Address
405 PEARL STREET
Enumeration Date
31 August 2006
Last Update Date
20 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813218785
Graduation Year
2018 (8 years ago)
PAC ID
8729061213
Group Practice PAC ID
0244207645
Professional Enrollment ID
I20040607001470
Address ID
MA021486644MA405XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

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Provider Addresses for MR. JOHN PETROS DOUZEPIS (PT)

  • North Suburban Medical Center, 405, Pearl Street, Edgeworth, Malden, Middlesex County, Massachusetts, 02148, United States

    NORTH SUBURBAN ORTHOPEDIC ASSOCIATES INC

    MALDEN, MA 02148

    Phone: (781) 321-8785

    Fax: (781) 321-8063

    Type: Mailing

  • 602, Broadway, Glendale, Everett, Middlesex County, Massachusetts, 02149, United States

    EVERETT, MA 021493743

    Phone: (617) 389-7211

    Fax: (617) 389-7225

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040607001470IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,673148$0
97140Therapy procedure using manual technique, each 15 minutes1,068121$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39951$0
97161Evaluation for physical therapy, typically 20 minutes130121$0
View full utilization report →

Insurance plans in this area (ZIP 02148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244207645View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Orthopedic SurgeryMA
Orthopedic SurgeryMA
Occupational Therapist In Private PracticeMA
Physician AssistantNY
Physical Therapist In Private PracticeMA
Nurse PractitionerMA
Occupational Therapist In Private PracticePA
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What number should I use to identify MR. JOHN PETROS DOUZEPIS (PT) for billing?
Administrative and clinical systems typically use NPI 1164533881 for MR. JOHN PETROS DOUZEPIS (PT).
Is MR. JOHN PETROS DOUZEPIS (PT) currently accepting referrals based on NPI status?
Registry metadata lists MR. JOHN PETROS DOUZEPIS (PT) as active.
What type of care does MR. JOHN PETROS DOUZEPIS (PT) provide?
MR. JOHN PETROS DOUZEPIS (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. JOHN PETROS DOUZEPIS (PT) tied to Malden, Massachusetts?
If you are local to Malden, Massachusetts, MR. JOHN PETROS DOUZEPIS (PT) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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