Provider Demographics
NPI:1407395296
Name:ADAMAKIS, GEORGIOS (MSPT)
Entity Type:Individual
Prefix:
First Name:GEORGIOS
Middle Name:
Last Name:ADAMAKIS
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-1334
Mailing Address - Country:US
Mailing Address - Phone:617-542-6611
Mailing Address - Fax:617-542-0161
Practice Address - Street 1:45 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1334
Practice Address - Country:US
Practice Address - Phone:617-542-6611
Practice Address - Fax:617-542-0161
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22829225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist