Alex Nicholas Pagotelis, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008625 Issued in WA

Practice address

3151 E 29TH Ave
Spokane, WA 99223-4800

Phone

(509) 532-0500

Fax

(509) 532-8810

NPI assigned

Apr 26, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Larry Ham and Associates Physical Therapy PS

  • Physical Therapist
  • Spokane, WA
  • NPI 1811098239
  NPD (past)
• Spokane Foot Clinic, P S

  • Podiatric Clinic/Center
  • Spokane, WA
  • NPI 1215012331
  NPD (past)
• Summit Rehab Valley Corporation

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1932243425
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1548480205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 E VISTA PARK DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992179447",
            "telephone_number": "509-892-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234800",
            "telephone_number": "509-532-0500",
            "fax_number": "509-532-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGOTELIS",
        "first_name": "ALEX",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00433694",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "220594",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Paffie, AMHC
• Sara Ann Pafford
• Coery D Page, LMT
• Makenzie Ann Page, CBT
• Rayanne Marisa Paget, MA
• Joshuel Arce Pahang
• Seyedmahdi Pahlavani, MD
• Takiya Kajuan Paicely, MSW, LCSW, DCC
• Hannah C Paine, LMCH, LPCC
• Laura Painley, CRNA

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.