Individual provider Active NPI

George Panagiotakopoulos, PT

  • Physical Therapist
  • Malden, MA
National Provider Identifier
1629851316
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26910 Issued in MA
Practice address
405 Pearl St
Malden, MA 02148-6644
Phone
(781) 279-7040
NPI assigned
Aug 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 26910 MA Primary

Addresses

Primary practice location

405 Pearl St
Malden, MA 02148-6644

Mailing address

92 Montvale Ave Ste 1400
Stoneham, MA 02180-3629
Phone (781) 279-7040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115003751 MA Practitioner - Physical Therapist in Private Practice 5991152753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Tufts University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgery, IncGroup PAC ID 0244207645, 25 clinicians

Practice addresses (Care Compare)

405 Pearl St
Malden, MA 02148-6644
Phone (781) 321-8785

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26910MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgery, Inc CurrentSince Oct 7, 2023 Accepting new patients

Locations

405 Pearl St
Malden, MA 02148
Phone (781) 321-8785

405 Pearl St
#2
Malden, MA 02148
Phone (781) 321-8785

92 Montvale Ave
Ste 1400
Stoneham, MA 02180
Phone (781) 279-7040

92 Montvale Ave
Ste 4500
Stoneham, MA 02180
Phone (781) 279-8433

Organizations & group practices 1

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1629851316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 1400",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803629",
            "telephone_number": "781-279-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PEARL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486644",
            "telephone_number": "781-279-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGIOTAKOPOULOS",
        "first_name": "GEORGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.