Individual provider Active NPI

Patricia Evanthia Hatzinikolau, PTA

  • Physical Therapy Assistant
  • Duxbury, MA
National Provider Identifier
1891219317
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
9361 Issued in MA
Practice address
308 Kingstown Way
Duxbury, MA 02332-4647
Phone
(781) 585-5561
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 9361 MA Primary

Addresses

Primary practice location

308 Kingstown Way
Duxbury, MA 02332-4647

Mailing address

35 Plain St
West Bridgewater, MA 02379-1325
Phone (774) 281-3584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9361MAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1891219317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PLAIN ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791325",
            "telephone_number": "774-281-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 KINGSTOWN WAY",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324647",
            "telephone_number": "781-585-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATZINIKOLAU",
        "first_name": "PATRICIA",
        "middle_name": "EVANTHIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "9361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.