Organization
ETHOS REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY KAKOURIS PT, DPT, CSCS (OWNER/PHYSICAL THERAPIST)
(774) 614-1322
Entity
Organization
Contact information
Practice address
81 SHREWSBURY ST STE 1, BOYLSTON, MA 01505-1701
(774) 614-1322
Mailing address
PO BOX 1110, BOYLSTON, MA 01505-1810
(774) 614-1322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
05/13/2026
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