Active NPI
Anas Ouaffai
- Physical Therapy Assistant
- Haines City, FL
National Provider Identifier
1013476977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 52753
- Practice address
- 35902 US-27
Haines City, FL 33844-3384 - Phone
- (863) 421-1777
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Kissimmee, FL
- NPI 1598794141
-
- Rehabilitation Clinic/Center
- Haines City, FL
- NPI 1639102809
-
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29060 | FL | MD | Dentist |
| 52753 | CA | MD | Pharmacist |
| 10083-AH-PA | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services, Inc | Past | Accepting new patients | |
| Cora Health Services Inc | Past | Accepting new patients | |
| Cora Health Services Inc | Past | Accepting new patients |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 29060 | FL | |
| Physical Therapy Assistant | 225200000X | 52753 | CA | Primary |
| Physical Therapy Assistant | 225200000X | 10083-AH-PA | MA |
Addresses
NPPES NPI RegistryPrimary practice location
35902 US-27
Haines City, FL 33844-3384
Mailing address
7657 Carlton Arms Blvd
Winter Haven, FL 33884-4810
Phone (407) 820-6536
Other practice location 1
3350 W Southport Rd
Kissimmee, FL 34746-2706
Phone (407) 846-0152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2024.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1013476977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7657 CARLTON ARMS BLVD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338844810",
"telephone_number": "407-820-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35902 US-27",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338443384",
"telephone_number": "863-421-1777"
}
],
"practiceLocations": [
{
"address_1": "3350 W Southport Rd",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347462706",
"country_code": "US",
"telephone_number": "407-846-0152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OUAFFAI",
"first_name": "ANAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "29060",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "52753",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "10083-AH-PA",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.