Provider Demographics
NPI:1003240961
Name:HIOS, PANAYIOTIS GEORGE (DPT)
Entity Type:Individual
Prefix:
First Name:PANAYIOTIS
Middle Name:GEORGE
Last Name:HIOS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 FAIRVIEW AVE STE F
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2279
Mailing Address - Country:US
Mailing Address - Phone:551-282-0235
Mailing Address - Fax:
Practice Address - Street 1:166 FAIRVIEW AVE STE F
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2279
Practice Address - Country:US
Practice Address - Phone:551-282-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01509900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist