Pro Rehab, Inc, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

136 Issued in MA

Legal business name

PRO REHAB, INC, PC

Practice address

278 Broadway St
Lowell, MA 01854-4121

Phone

(978) 452-6633

Fax

(978) 935-2741

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George Potamitis, PT, DPT, MSNPI 1871530196

Title

Physical Therapistpresident

Phone

(978) 452-6633

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 7

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

• George Potamitis, PT, DPT, MS

  • Physical Therapist
  • Lowell, MA
  • NPI 1871530196
  Medicare reassignment Care Compare group NPD Authorized official
• Susan F. Pimentel-Potamitis, BSPT

  • Physical Therapist
  • Lowell, MA
  • NPI 1669712121
  Medicare reassignment Care Compare group NPD
• Aglaia Saratsopoulou, PT

  • Physical Therapist
  • Roslindale, MA
  • NPI 1114057767
  Medicare reassignment Care Compare group NPD
• Charles Christopher Cambus, PT

  • Physical Therapist
  • Burlington, MA
  • NPI 1093914525
  Medicare reassignment NPD
• Elaina Manolis, PT, DPT

  • Orthopedic Physical Therapist
  • Dracut, MA
  • NPI 1114390978
  Medicare reassignment NPD
• Iris Malliaros, PT

  • Physical Therapist
  • Woburn, MA
  • NPI 1154563252
  NPD (past)
• Tanya Zouzas, DO

  • Internal Medicine Physician
  • Chelmsford, MA
  • NPI 1952310302
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333152000000",
    "number": "1497880215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 BROADWAY ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018544121",
            "telephone_number": "978-452-6633",
            "fax_number": "978-935-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BROADWAY ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018544121",
            "telephone_number": "978-452-6633",
            "fax_number": "978-935-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO REHAB, INC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-03-31",
        "status": "A",
        "authorized_official_last_name": "POTAMITIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICAL THERAPISTPRESIDENT",
        "authorized_official_telephone_number": "978-452-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0305791",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315702",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Healthcare Solutions and Staffing LLC
• Stephen James Primes
• Priorityone EMS and Medical Supply, LLC
• Caroline Kern Privitt, CNM
• Bonnie L Prizio, M.A.
• Olivia Procope
• Elizabeth Chausee Proffitt, PT, DPT
• Osman Promket
• Justin Allan Pronovost
• Harry G Provadakes, M.DIV

• Physical Therapist in Lowell, MA
• Providers in Lowell, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2012; 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.