Active NPI
Pamela Panagopoulos, PT, DPT, CSCS
- Pediatric Physical Therapist
- Brooklyn, NY
National Provider Identifier
1245573906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 036169
- Practice address
- 1723 8TH Ave
Brooklyn, NY 11215-6103 - Phone
- (718) 290-2739
- NPI assigned
- Apr 1, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 036169 | NY | Primary |
Addresses
Primary practice location
1723 8TH Ave
Brooklyn, NY 11215-6103
Mailing address
4615 Center Blvd Apt 1508
Long Island City, NY 11109-5755
Phone (310) 220-1132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036169 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1245573906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 CENTER BLVD APT 1508",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111095755",
"telephone_number": "310-220-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 8TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156103",
"telephone_number": "718-290-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANAGOPOULOS",
"first_name": "PAMELA",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "036169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.