Individual provider Active NPI

Peter Cholakis, PT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1508811985
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19697 Issued in FL
Practice address
8198 Jog Rd.
#100
Boynton Beach, FL 33437-2998
Phone
(561) 742-5959
Fax
(561) 495-3886
NPI assigned
May 23, 2006
Last updated
Feb 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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 PT19697 FL Primary

Addresses

Primary practice location

8198 Jog Rd.
#100
Boynton Beach, FL 33437-2998

Mailing address

15300 Jog Road
Suite 107-108
Delray Beach, FL 33446-2164
Phone (561) 742-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1508811985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 JOG ROAD",
            "address_2": "SUITE 107-108",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462164",
            "telephone_number": "561-742-5959",
            "fax_number": "561-495-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 JOG RD.",
            "address_2": "#100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372998",
            "telephone_number": "561-742-5959",
            "fax_number": "561-495-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLAKIS",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.