Christos Theoharatos, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT2572 Issued in CA

Practice address

1301 N Rose Dr
Placentia, CA 92870-3802

Phone

(714) 993-2000

NPI assigned

Sep 21, 2010

Last updated

Sep 21, 2010By the provider in NPPES

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

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": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1932417268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 TURQUOISE CIR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092154",
            "telephone_number": "909-606-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N ROSE DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703802",
            "telephone_number": "714-993-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOHARATOS",
        "first_name": "CHRISTOS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Placentia, CA
• Providers in Placentia, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.