Anastasia S Koutrodimos, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

5874 Issued in OH

Practice address

4125 Medina Rd
Akron, OH 44333-2483

Phone

(330) 665-8200

Fax

(330) 665-8197

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Stacey Koutrodimos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1568090017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8200",
            "fax_number": "330-665-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8200",
            "fax_number": "330-665-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTRODIMOS",
        "first_name": "ANASTASIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OH",
            "license": "5874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "KOUTRODIMOS",
            "prefix": "MISS",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Ann Kotkowski
• Julie A Kotowski, PA-C
• Bradley Kou
• Peter Anthony Koulianos
• Stavros Iosef Koundourakis, R.N.
• Kara Kovach, PA-C
• Diane M Kovachik, PA
• Monica Lee Kovacs
• Maria C Kovalchin
• Nino Kovaljesko

• Hand Occupational Therapist in Akron, OH
• Providers in Akron, OH by specialty
• Hand Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.