Vasileios Petros Politis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2148 Issued in CT

Practice address

136 Main St
Danielson, CT 06239-2861

Phone

(860) 963-2133

Fax

(860) 963-8955

NPI assigned

Apr 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1770165722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 KENNEDY DR",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601939",
            "telephone_number": "860-963-2133",
            "fax_number": "860-963-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MAIN ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392861",
            "telephone_number": "860-963-2133",
            "fax_number": "860-963-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITIS",
        "first_name": "VASILEIOS",
        "middle_name": "PETROS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "136 Main St",
            "city": "Danielson",
            "state": "CT",
            "country_code": "US",
            "postal_code": "062392861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Pelletier
• Monica Phongsa, CCC-SLP
• Alan D Piascik
• Patricia Placido, LCSW
• Planned Parenthood of CT, Inc
• Anthony John Purcell, D.O.
• Quiet Corner Chiropractic and Wellness Center, LLC
• Philip Rufus Raiford, M.D.
• Regency Heights of Danielson, LLC
• Regeneration Therapy and Counseling LLC

• All providers in Danielson, CT
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.