Active NPI
Nicholas Stauros Liatsos, PT
- Specialist
- East Greenwich, RI
National Provider Identifier
1699867671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT02026
- Practice address
- 99 Frenchtown Rd
East Greenwich, RI 02818-1802 - Phone
- (401) 884-6456
- Fax
- (401) 884-3210
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT02026 | RI | Primary |
Addresses
Primary practice location
99 Frenchtown Rd
East Greenwich, RI 02818-1802
Mailing address
99 Frenchtown Rd
East Greenwich, RI 02818-1802
Phone (401) 884-6456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30 Boston St
Suite 10
Lynn, MA 01904-2540
Phone (781) 598-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT02026 | RI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Physical Therapy Inc | Current | Accepting new patients |
Locations
30 Boston St
Ste 10
Lynn, MA 01904
Phone (781) 598-5900
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 and National Provider Directory roles.
-
- Physical Therapist
- Lynn, MA
- NPI 1114125820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699867671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 FRENCHTOWN RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181802",
"telephone_number": "401-884-6456",
"fax_number": "401-884-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 FRENCHTOWN RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181802",
"telephone_number": "401-884-6456",
"fax_number": "401-884-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIATSOS",
"first_name": "NICHOLAS",
"middle_name": "STAUROS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "RI",
"license": "PT02026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.