Kawsar Choufani, DPT
Individual provider Active NPI Physical Therapist · North Jackson, OH
NPI 1003207366 · NPPES record last updated Feb 9, 2015
Key facts
- NPI
- 1003207366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 015186 (OH)
- Practice address
- 2675 N Lipkey Rd
North Jackson, OH 44451-9665 - Phone
- (330) 538-9822
- Fax
- (330) 538-9820
- NPI assigned
- Feb 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Antonine Therapy Center
Practice addresses (Care Compare)
2675 N Lipkey Rd
North Jackson, OH 44451-9665
Phone (330) 538-9822
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150612002190 | OH | Practitioner - Physical Therapist in Private Practice | 6608197975 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015186 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antonine Therapy Center | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015186 | OH | Yes |
Addresses
Primary practice location
2675 N Lipkey Rd
North Jackson, OH 44451-9665
Mailing address
2675 N Lipkey Rd
North Jackson, OH 44451-9665
Phone (330) 538-9822
Other providers in North Jackson, OH
- Jill K Babinec
- Charlene Baker
- Kimberly A Barkelew
- Katherine T Barto
- Michael H Binder
- Jackson Township Tustees
- Jackson-Milton Local School District
- Jay R. Osborne, MD, Inc.
- Shallon Tennille Johnson
- Stephanie Kardos
All providers in North Jackson, OH · Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.