Kostantina Sgourakis

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

701 Pinnacle Dr Ste 105
Papillion, NE 68046-6228

Phone

(402) 505-7989

Fax

(402) 932-8863

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dina Sgourakis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Procare3, Inc.

  • Rehabilitation Practitioner
  • Omaha, NE
  • NPI 1942266945
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1972121846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PINNACLE DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466228",
            "telephone_number": "402-505-7989",
            "fax_number": "402-932-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PINNACLE DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466228",
            "telephone_number": "402-505-7989",
            "fax_number": "402-932-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGOURAKIS",
        "first_name": "KOSTANTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "2833",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "SGOURAKIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neil L Sergel, MD
• Michael Sessions
• Halle Jordon Settles
• Bradley Seuss
• Shelli Seuss
• Shared Solutions Counseling
• Hawa Shatta
• Trudi Shaw-Meyer
• Kim Ann Shaw
• Lynn Sheard

• Massage Therapist in Papillion, NE
• Providers in Papillion, NE by specialty
• Massage Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.