Emmanouil Lagogiannis, PT, MSC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28380 Issued in MD

Practice address

10155 York Rd Ste 205-206
Cockeysville, MD 21030-3352

Phone

(443) 355-8891

NPI assigned

Jun 17, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Source Physiotherapy LLC

  • Physical Therapy Clinic/Center
  • Cockeysville, MD
  • NPI 1316510282
  Medicare reassignment NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1801464599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HILLSYDE CT",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301750",
            "telephone_number": "443-355-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 YORK RD STE 205-206",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303352",
            "telephone_number": "443-355-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGOGIANNIS",
        "first_name": "EMMANOUIL",
        "credential": "PT, MSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlago77@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10155 York Rd Ste 205-206",
            "city": "Cockeysville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210303352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennah Joan Kuhn, MA, LGPC, NCC
• Elsa Mathew Kurian, RPH
• Anastasia Kutson, OTR/L, MS
• Alexandra Marie Kyles
• L & M Medical Inc
• Erika Lair
• Kate E Lalancette, RDN
• Cheri Lally, LCSW-C
• Lauren Lapenna, LGPC, NCC
• Amanda Lauffer, CCC-SLP

• Physical Therapist in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.

Verify at the official NPI Registry.