Active NPI
Angelo L Labrinakos, MS, PT, DPT, ATC
- Physical Therapist
- Draper, UT
National Provider Identifier
1265455307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 017500
- Practice address
- 13937 S Sprague LN Ste 100
Draper, UT 84020-7864 - Phone
- (385) 308-8034
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TPPT297 | FL | |
| Physical Therapist | 225100000X | 204009 | AK | |
| Physical Therapist | 225100000X | 5634 | HI | |
| Physical Therapist | 225100000X | 40QA02156500 | NJ | |
| Physical Therapist | 225100000X | PT03628 | RI | |
| Physical Therapist | 225100000X | 050234 | NY | |
| Physical Therapist | 225100000X | PT-2023-2031 | NM | |
| Physical Therapist | 225100000X | 5501302499 | MI | |
| Physical Therapist | 225100000X | PT-8649 | ID | |
| Physical Therapist | 225100000X | 304260 | CA | |
| Physical Therapist | 225100000X | 13345 | MN | |
| Physical Therapist | 225100000X | PT 017500 | PA | Primary |
| Physical Therapist | 225100000X | PT-2279 | WY | |
| Physical Therapist | 225100000X | 1377966 | TX |
Addresses
Primary practice location
13937 S Sprague LN Ste 100
Draper, UT 84020-7864
Mailing address
163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone (610) 458-6464
Other practice location 1
163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone (610) 458-6464
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204009 | AK | MD | Physical Therapist |
| 304260 | CA | MD | Physical Therapist |
| TPPT297 | FL | MD | Physical Therapist |
| 5634 | HI | MD | Physical Therapist |
| PT-8649 | ID | MD | Physical Therapist |
| 5501302499 | MI | MD | Physical Therapist |
| 13345 | MN | MD | Physical Therapist |
| 40QA02156500 | NJ | MD | Physical Therapist |
| PT-2023-2031 | NM | MD | Physical Therapist |
| 050234 | NY | MD | Physical Therapist |
| PT 017500 | PA | MD | Physical Therapist |
| PT03628 | RI | MD | Physical Therapist |
| 1377966 | TX | MD | Physical Therapist |
| PT-2279 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1265455307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 POTTSTOWN PIKE",
"city": "CHESTER SPRINGS",
"state": "PA",
"postal_code": "194259518",
"telephone_number": "610-458-6464",
"fax_number": "610-458-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13937 S SPRAGUE LN STE 100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207864",
"telephone_number": "385-308-8034"
}
],
"practiceLocations": [
{
"address_1": "163 Pottstown Pike",
"address_purpose": "LOCATION",
"city": "Chester Springs",
"state": "PA",
"postal_code": "194259518",
"country_code": "US",
"telephone_number": "610-458-6464",
"fax_number": "610-458-6465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LABRINAKOS",
"first_name": "ANGELO",
"middle_name": "L",
"credential": "MS, PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "TPPT297",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "204009",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "5634",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02156500",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03628",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050234",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT-2023-2031",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501302499",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-8649",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304260",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "13345",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT 017500",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-2279",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1377966",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.