Kyriakos Theophanous, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018144 Issued in OH

Practice address

6149 W 130TH St
Parma, OH 44130-1042

Phone

(216) 317-8613

NPI assigned

Apr 30, 2021

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1467035139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4672 HILLAND RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094570",
            "telephone_number": "330-423-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 W 130TH ST",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301042",
            "telephone_number": "216-317-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOPHANOUS",
        "first_name": "KYRIAKOS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Metrohealth System (Metrohealth Parma Pharmacy)
• The Metrohealth System (Metrohealth System Parma Ambulatory Surgery Center)
• The Porter Foundation of Ohio
• The Wheelchair Store
• Kedeshia Thenstead
• Therapeutic Relations Healthcare Services LLC
• Chelsea Thomas, QMHS
• Lucy Paula Thomas, N.P.
• Matthew Thomas, OTR/L
• Monice Thomas, NEMT

• Physical Therapist in Parma, OH
• Providers in Parma, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.