Active NPI
Linda Marie Patrikios, PT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1093941015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2279
- Practice address
- 5209 Sandy Forks Road
Suite 200
Raleigh, NC 27609 - Phone
- (919) 954-3492
- Fax
- (919) 954-3942
- NPI assigned
- Jun 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2279 | NC | Primary |
Addresses
Primary practice location
5209 Sandy Forks Road
Suite 200
Raleigh, NC 27609
Mailing address
1108 Dresser CT
Suite 201B
Raleigh, NC 27609-7328
Phone (919) 876-8302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2279 | NC | MD | Clinical Child & Adolescent Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1093941015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 DRESSER CT",
"address_2": "SUITE 201B",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097328",
"telephone_number": "919-876-8302",
"fax_number": "919-954-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5209 SANDY FORKS ROAD",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27609",
"telephone_number": "919-954-3492",
"fax_number": "919-954-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRIKIOS",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2022-05-19",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.