Provider Demographics
NPI:1265455307
Name:LABRINAKOS, ANGELO L (MS, PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:ANGELO
Middle Name:L
Last Name:LABRINAKOS
Suffix:
Gender:M
Credentials:MS, PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 POTTSTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-9518
Mailing Address - Country:US
Mailing Address - Phone:610-458-6464
Mailing Address - Fax:610-458-6465
Practice Address - Street 1:13937 S SPRAGUE LN STE 100
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7864
Practice Address - Country:US
Practice Address - Phone:385-308-8034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPPT297225100000X
AK204009225100000X
HI5634225100000X
NJ40QA02156500225100000X
RIPT03628225100000X
NY050234225100000X
NMPT-2023-2031225100000X
MI5501302499225100000X
IDPT-8649225100000X
CA304260225100000X
MN13345225100000X
PAPT 017500225100000X
WYPT-2279225100000X
TX1377966225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA105688VXJMedicare PIN