Nicolaos Spiratos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024863 Issued in NY

Practice address

2710 Astoria Blvd
Ground Floor
Astoria, NY 11102-1962

Phone

(718) 545-8877

Fax

(718) 545-8879

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Function Enhancing Physical Therapy PLLCGroup PAC ID 1052495108, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Function Enhancing Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Astoria, NY
  • NPI 1548449549
  Medicare reassignment Care Compare group Authorized official
• Panagiotis Zenetos Physician, PC

  • Pain Medicine Physician
  • Bayside, NY
  • NPI 1245370154
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1376680207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024358",
            "telephone_number": "718-545-8877",
            "fax_number": "718-545-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 ASTORIA BLVD",
            "address_2": "GROUND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021962",
            "telephone_number": "718-545-8877",
            "fax_number": "718-545-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRATOS",
        "first_name": "NICOLAOS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectra Pharmacy Inc.
• Specx West LLC
• Vincent Spevack
• Maria Spilios
• Farrah Yvonne Spiratos, SLP-CCC
• SPM Pharmacy Inc.
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
• George N Spyropoulos, DDS
• Pericles M Spyropoulos, M.D.
• Anita Srdanovic Parris

• Physical Therapist in Astoria, NY
• Providers in Astoria, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.