Individual provider Active NPI

Hassan Farhat, P.T.

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1063429504
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000004657 Issued in TN
Practice address
1650 Slaughter Rd Ste B
Madison, AL 35758-8610
Phone
(256) 325-1795
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT39373 FL
Physical Therapist 225100000X PTH8689 AL
Physical Therapist 225100000X PT0000004657 TN Primary

Addresses

Primary practice location

1650 Slaughter Rd Ste B
Madison, AL 35758-8610

Mailing address

645 Wynn Dr NW
Huntsville, AL 35816-1814
Phone (731) 298-4307

Other practice location 1

1855 Highway 51 Bypass
Suite A
Dyersburg, TN 38024-1855
Phone (731) 298-4307

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
PTH8689ALMDPhysical Therapist
PT39373FLMDPhysical Therapist
PT0000004657TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
1St Step Physical Therapy & Sports Medicine Physical Therapist CurrentSince Nov 6, 2022 Accepting new patients

Locations

1650 Slaughter Rd
#B
Madison, AL 35758
Phone (256) 325-1791

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1063429504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WYNN DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161814",
            "telephone_number": "731-298-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SLAUGHTER RD STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588610",
            "telephone_number": "256-325-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Highway 51 Bypass",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380241855",
            "country_code": "US",
            "telephone_number": "731-298-4307",
            "fax_number": "731-587-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARHAT",
        "first_name": "HASSAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39373",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8689",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.