Peter Steven Panagos, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

004033 Issued in NY

Practice address

5026 Oceania St
Bayside, NY 11364-1123

Phone

(718) 598-0548

NPI assigned

May 1, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Soma Dynamics Physical Therapy and Wellness LLC

  • Home Health Agency
  • Bayside, NY
  • NPI 1245722867
  NPD Authorized official

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1821586215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 OCEANIA ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113641123",
            "telephone_number": "718-598-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 OCEANIA ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113641123",
            "telephone_number": "718-598-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGOS",
        "first_name": "PETER",
        "middle_name": "STEVEN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soon R. Pak, L.AC., R.N.
• Acacia Palmer, LCSW
• Katherine Palmisano, N.P.
• Panagiotis Zenetos Physician PC
• Panagiotis Zenetos Physician, PC
• Theodora Panteloglou, D.O.
• Joanne Paolino, M.S.ED.
• Aspasia Papadaki, PH.D.
• Stylianos P Papadakos, M.D.
• Michael John Papamichael, M.D.

• Physical Therapy Assistant in Bayside, NY
• Providers in Bayside, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.