Individual provider Active NPI

Anas Ouaffai

  • Physical Therapy Assistant
  • Haines City, FL
National Provider Identifier
1013476977
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
52753 Issued in CA
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.

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

LicenseStateTypeSpecialty
29060FLMDDentist
52753CAMDPharmacist
10083-AH-PAMAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc Past Accepting new patients
Cora Health Services Inc Past Accepting new patients
Cora Health Services Inc PastSince Jan 1, 2023 Accepting new patients

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 29060 FL
Physical Therapy Assistant 225200000X 52753 CA Primary
Physical Therapy Assistant 225200000X 10083-AH-PA MA

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.