Angelo G. Sakelaris, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0039 Issued in NV

Practice address

6178 Carriage House Way
Reno, NV 89519

Phone

(775) 826-2521

Fax

(775) 826-2521

NPI assigned

Jun 3, 2006

Last updated

Nov 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1710925425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6178 CARRIAGE HOUSE WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895097343",
            "telephone_number": "775-826-2521",
            "fax_number": "775-826-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6178 CARRIAGE HOUSE WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89519",
            "telephone_number": "775-826-2521",
            "fax_number": "775-826-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKELARIS",
        "first_name": "ANGELO",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004716904",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.