Ags Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5194 Issued in MA

Legal business name

AGS PHYSICAL THERAPY INC

Practice address

372 Main Street
Watertown, MA 02472

Phone

(617) 923-8284

Fax

(617) 926-6678

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. George S Stamatopoulos, PTNPI 1407925134

Title

Clinical Director

Phone

(617) 923-8284

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George S Stamatopoulos, PT

  • Physical Therapist
  • Watertown, MA
  • NPI 1407925134

  MA, Physical Therapist

  Medicare reassignment NPD Authorized official
• Sharon Carol Millett, AT

  • Athletic Trainer
  • Watertown, MA
  • NPI 1669121505
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356404685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MAIN STREET",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "617-923-8284",
            "fax_number": "617-926-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 MAIN STREET",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "617-923-8284",
            "fax_number": "617-926-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAMATOPOULOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "617-923-8284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "5194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": ".0389153",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V65625",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6811865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD HC",
            "identifier": "AA27712",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adjust Yourself LLC
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• Affiliates in Podiatry PC
• Christopher A Aghjayan, BCBA
• Barry Joseph Agranat, DMD
• Edward Sherwin M Aguilar, PT
• Diane Ah-Kine NG Poon Hing, O.D.
• Constance B Ahlstrom, LICSW
• Aid Mass LLC
• Aida M Yavshayan, MD

• All providers in Watertown, MA
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.