Individual provider Active NPI

Evangelos Zahos, DPT, PT

  • Physical Therapist
  • Amityville, NY
National Provider Identifier
1952126344
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053469 Issued in NY
Practice address
11 Broadway
Amityville, NY 11701-2701
Phone
(631) 691-6900
NPI assigned
Nov 20, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 053469 NY Primary

Addresses

Primary practice location

11 Broadway
Amityville, NY 11701-2701

Mailing address

306 N Clinton Ave
Lindenhurst, NY 11757-3837
Phone (631) 398-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217000402 NY Practitioner - Physical Therapist in Private Practice 4587191481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PKL Physical Therapy and Wellness, PCGroup PAC ID 6103874425, 6 clinicians

Practice addresses (Care Compare)

11 Broadway
Amityville, NY 11701-2701
Phone (631) 691-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053469NYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Wheeler DO PC CurrentSince Nov 20, 2024 Accepting new patients
PKL Physical Therapy & Wellness, PC Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients

Locations

11 Broadway
Amityville, NY 11701
Phone (516) 605-1700

824 Old Country Rd
Plainview, NY 11803
Phone (516) 822-2230

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1952126344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N CLINTON AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573837",
            "telephone_number": "631-398-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012701",
            "telephone_number": "631-691-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHOS",
        "first_name": "EVANGELOS",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.