Individual provider Active NPI

Georgios Adamakis, MSPT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1407395296
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22829 Issued in MA
Practice address
45 Franklin St
Boston, MA 02110-1334
Phone
(617) 542-6611
Fax
(617) 542-0161
NPI assigned
Feb 14, 2017
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22829 MA Primary

Addresses

Primary practice location

45 Franklin St
Boston, MA 02110-1334

Mailing address

45 Franklin St
Boston, MA 02110-1334
Phone (617) 542-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170315000601 MA Practitioner - Physical Therapist in Private Practice 0446535413 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

44 School St
RM 350
Boston, MA 02108-4228
Phone (617) 303-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22829MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Ventures Physical Therapy, Inc. Physical Therapist CurrentSince Apr 16, 2019 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Nov 4, 2019 Accepting new patients
Joint Ventures Physical Therapy, Inc. CurrentSince Apr 16, 2019 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist CurrentSince Feb 13, 2017 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist Past Accepting new patients
Lawrence General Hospital PastSince Feb 11, 2019 Accepting new patients

Locations

45 Franklin St
Boston, MA 02110
Phone (617) 426-2226

25 Braintree Hill Park
Ofc P
Braintree, MA 02184
Phone (781) 444-1614

15 Oak St
Ste 1
Needham, MA 02492
Phone (781) 444-1614

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1407395296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FRANKLIN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101334",
            "telephone_number": "617-542-6611",
            "fax_number": "617-542-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FRANKLIN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101334",
            "telephone_number": "617-542-6611",
            "fax_number": "617-542-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMAKIS",
        "first_name": "GEORGIOS",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.