Individual provider Active NPI

Jamal Alian, PT

  • Physical Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1003334681
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32899 Issued in FL
Practice address
4371 Northlake Blvd # 203
Palm Beach Gardens, FL 33410-6253
Phone
(561) 775-4900
Fax
(561) 775-0003
NPI assigned
Sep 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32899 FL Primary

Addresses

Primary practice location

4371 Northlake Blvd # 203
Palm Beach Gardens, FL 33410-6253

Mailing address

4371 Northlake Blvd # 203
Palm Beach Gardens, FL 33410-6253
Phone (561) 775-4900

Other identifiers 1

IdentifierTypeStateIssuer
PT32899OtherFLSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32899FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Basis Whole Body Wellness LLC Past Accepting new patients
Progressive Health and Wellness LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1003334681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 NORTHLAKE BLVD # 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106253",
            "telephone_number": "561-775-4900",
            "fax_number": "561-775-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NORTHLAKE BLVD # 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106253",
            "telephone_number": "561-775-4900",
            "fax_number": "561-775-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIAN",
        "first_name": "JAMAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT32899",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.