Individual provider Active NPI

Angelo L Labrinakos, MS, PT, DPT, ATC

  • Physical Therapist
  • Draper, UT
National Provider Identifier
1265455307
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 017500 Issued in PA
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

Updated by the provider on Nov 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
204009AKMDPhysical Therapist
304260CAMDPhysical Therapist
TPPT297FLMDPhysical Therapist
5634HIMDPhysical Therapist
PT-8649IDMDPhysical Therapist
5501302499MIMDPhysical Therapist
13345MNMDPhysical Therapist
40QA02156500NJMDPhysical Therapist
PT-2023-2031NMMDPhysical Therapist
050234NYMDPhysical Therapist
PT 017500PAMDPhysical Therapist
PT03628RIMDPhysical Therapist
1377966TXMDPhysical Therapist
PT-2279WYMDPhysical 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.

Verify at the official NPI Registry.