Provider Demographics
NPI:1629315973
Name:STRANGOS, GEORGE ADAM (PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:ADAM
Last Name:STRANGOS
Suffix:
Gender:M
Credentials: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 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:4500 MAGAZINE ST
Practice Address - Street 2:STE 3
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-1543
Practice Address - Country:US
Practice Address - Phone:504-899-1437
Practice Address - Fax:504-899-1439
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10114225100000X
LA08970R225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
871552OtherOPTUM
LA381676YUZ5OtherMEDICARE PTAN
LA381676YWWBOtherMEDICARE PTAN
LAUSES NPIOtherBCBS-LA