| Jimmy Kakouris, PT, DPT CSCS | |
|
81 Shrewsbury St Ste 1, Boylston, MA 01505-1701 | |
| (774) 614-1322 | |
| (774) 614-1171 |
| Full Name | Jimmy Kakouris |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 81 Shrewsbury St Ste 1, Boylston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306057146 | NPI | - | NPPES |
| 18231 | Other | MA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 18231 (Massachusetts) | Primary |
| Provider Name | Worcester Physical Therapy Services, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1275644270 PECOS PAC ID: 3173541653 Enrollment ID: O20051103000094 |
| Provider Name | Ethos Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548900418 PECOS PAC ID: 3072990068 Enrollment ID: O20220512001530 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Kakouris, PT, DPT CSCS 84 Barry Rd, Worcester, MA 01609-1136 Ph: (239) 209-0320 | Jimmy Kakouris, PT, DPT CSCS 81 Shrewsbury St Ste 1, Boylston, MA 01505-1701 Ph: (774) 614-1322 |
Lisa Munroe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Smallwood Cir, Boylston, MA 01505 Phone: 774-722-2168 | |
Alicia Cecchini, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Shrewsbury St Ste 1, Boylston, MA 01505 Phone: 774-614-1322 Fax: 774-614-1171 | |
Dr. Jillian Barnaby, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 218 School St, Boylston, MA 01505 Phone: 774-314-7472 | |
Ethos Rehabilitation Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 81 Shrewsbury St Ste 1, Boylston, MA 01505 Phone: 774-614-1322 | |
Lisa Munroe, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Smallwood Cir, Boylston, MA 01505 Phone: 774-722-2168 Fax: 888-981-2692 | |
Laila Tokatli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Shrewsbury St Ste 1, Boylston, MA 01505 Phone: 774-614-1322 Fax: 774-614-1171 |