Individual provider Active NPI

Evangelos Pappas, PT, PHD, OCS

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1710198478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19076 Issued in NY
Practice address
122 Ashland PL Apt 15D
Brooklyn, NY 11201-3912
Phone
(718) 488-1498
Fax
(718) 780-4002
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 19076 NY Primary

Addresses

Primary practice location

122 Ashland PL Apt 15D
Brooklyn, NY 11201-3912

Mailing address

122 Ashland PL Apt 15D
Brooklyn, NY 11201-3912
Phone (718) 488-1498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
19076NYMDPhysical Therapist
019076NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710198478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ASHLAND PL APT 15D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013912",
            "telephone_number": "718-488-1498",
            "fax_number": "718-780-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ASHLAND PL APT 15D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013912",
            "telephone_number": "718-488-1498",
            "fax_number": "718-780-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "EVANGELOS",
        "name_prefix": "Dr.",
        "credential": "PT, PHD, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "19076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.