Provider Demographics
NPI:1164524112
Name:PAPAGIANAKIS, LOUIS (PT,DPT,CSCS)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:
Last Name:PAPAGIANAKIS
Suffix:
Gender:M
Credentials:PT,DPT,CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 ANN ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-2701
Mailing Address - Country:US
Mailing Address - Phone:516-532-2956
Mailing Address - Fax:
Practice Address - Street 1:93 ANN ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-2701
Practice Address - Country:US
Practice Address - Phone:516-532-2956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026742-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY29626VMedicare ID - Type UnspecifiedPHYSICAL THERAPIST