Individual provider Active NPI

Ahmad Naeem

  • Physical Therapist
  • Palos Hills, IL
National Provider Identifier
1063684298
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013531 Issued in IL
Practice address
8150 W 111TH St Ste 9
Palos Hills, IL 60465-2592
Phone
(312) 927-2252
NPI assigned
Mar 27, 2008
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 070013531 IL Primary

Addresses

Primary practice location

8150 W 111TH St Ste 9
Palos Hills, IL 60465-2592

Mailing address

8150 W 111TH St Ste 9
Palos Hills, IL 60465-2592
Phone (312) 927-2252

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

Practice roles

OrganizationSpecialtyStatusNew patients
Al-Shafa Health Care,Inc Current Accepting new patients
Al-Shafa Health Care, Inc. CurrentSince Feb 9, 2009 Accepting new patients
Family Medicine & Rehabilitation Center, PC PastSince Nov 30, 2000 Accepting new patients

Locations

8150 W 111th St
Ste 9
Palos Hills, IL 60465
Phone (312) 927-2252

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10063668

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, 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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1063684298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 W 111TH ST STE 9",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652592",
            "telephone_number": "312-927-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 W 111TH ST STE 9",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652592",
            "telephone_number": "312-927-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAEEM",
        "first_name": "AHMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.