Emmanuel Panagiotis Bakis Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34030 Issued in CA

Practice address

1201 Alhambra Blvd Ste 200
Sacramento, CA 95816-5241

Phone

(916) 731-7900

Fax

(916) 731-7915

NPI assigned

Jan 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801072897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ALHAMBRA BLVD STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165241",
            "telephone_number": "916-731-7900",
            "fax_number": "916-731-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 Homestead Ave Apt 230",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982802",
            "country_code": "US",
            "telephone_number": "415-994-5312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKIS",
        "first_name": "EMMANUEL",
        "middle_name": "PANAGIOTIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "34030",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Alonnis Baker
• Timothy M. Baker, MD
• Debra Bakerjian, PHD, MSN, APRN, FNP
• Michelle Bakhtari, PHARM.D.
• Rostam Bakhtari, M.D.
• Abigail Bakker
• Esmeralda Bako, PA
• Aneet Singh Bal, D.D.S.
• Inderpreet Kaur Bal
• Sharry Bal

• Physical Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.