Anita Demetra Panagiotis, MS PT
Individual provider Active NPI Physical Therapist · Wheaton, IL
NPI 1497760060 · NPPES record last updated Sep 20, 2011
Key facts
- NPI
- 1497760060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070003081 (IL)
- Practice address
- 310 S County Farm Rd
Unit D
Wheaton, IL 60187 - Phone
- (630) 653-9995
- Fax
- (630) 653-9959
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070003081 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070003081 | IL | Yes |
Addresses
Primary practice location
310 S County Farm Rd
Unit D
Wheaton, IL 60187
Mailing address
310 S County Farm Rd
Unit D
Wheaton, IL 60187
Phone (630) 653-9995
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7576630 | Other | IL | AETNA |
| C16248 | Other | IL | RAILROAD MEDICARE |
| 070003081 | Other | IL | BCBS |
Other providers in Wheaton, IL
- Angela Chunsa Pak
- John Pak
- Steven T. Paliakas
- Virginia Palicka
- Elisabeth Palmerin
- Panahi Counseling, PC
- Cara Panahi
- David S Panahi
- Ryan Joseph Panganiban
- Lynette Shereen Pangburn
All providers in Wheaton, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.