Individual provider Active NPI

Chris Kyriacou

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1518306547
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 27618 Issued in FL
Practice address
300 10TH St S Apt 933
St Petersburg, FL 33705-1700
Phone
(917) 658-7081
NPI assigned
Jun 24, 2013
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034243 NY
Physical Therapist 225100000X PT 27618 FL Primary

Addresses

Primary practice location

300 10TH St S Apt 933
St Petersburg, FL 33705-1700

Mailing address

300 10TH St S Apt 933
St Petersburg, FL 33705-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180112000118 NY Practitioner - Physical Therapist in Private Practice 1951660240 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians
Rehab on Wheels OT PT PLLCGroup PAC ID 0042585358, 49 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11206
Phone (718) 701-7300

174 Bay 29TH St
Suite C1
Brooklyn, NY 11214-5020
Phone (718) 395-7445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034243NYMDGeneral Practice Dentistry
PT 27618FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Physical & Occupational Therapy PLLC Physical Therapist CurrentSince Jun 22, 2019 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Sep 4, 2023 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Jan 14, 2023 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Apr 16, 2024 Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist CurrentSince Nov 19, 2018 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients

Locations

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

534 W 112th St
Unit 250872
New York, NY 10025
Phone (516) 368-2829

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1518306547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 10TH ST S APT 933",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 10TH ST S APT 933",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051700",
            "telephone_number": "917-658-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIACOU",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034243",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 27618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.