Provider Demographics
NPI:1932733870
Name:PAPAVASILIOU, THANOS (DPT)
Entity Type:Individual
Prefix:DR
First Name:THANOS
Middle Name:
Last Name:PAPAVASILIOU
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 1:1909 BRANARD ST APT F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-2551
Mailing Address - Country:US
Mailing Address - Phone:713-526-6143
Mailing Address - Fax:
Practice Address - Street 1:1909 BRANARD ST APT F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-2551
Practice Address - Country:US
Practice Address - Phone:713-526-6143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-01
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT37347225100000X
CA301140225100000X
NY048380225100000X
CT13437225100000X
TX1264646225100000X
NMPT5812225100000X
IL070.025844225100000X
NVA-1357225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist