Individual provider Active NPI

Sajjad A Khan, P.T.

  • Physical Therapist
  • West Chester, OH
National Provider Identifier
1083821235
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010873 Issued in OH
Practice address
8849 Brookside Ave Ste 101
West Chester, OH 45069-7114
Phone
(513) 772-0575
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 010873 OH Primary

Addresses

Primary practice location

8849 Brookside Ave Ste 101
West Chester, OH 45069-7114

Mailing address

8849 Brookside Ave Ste 101
West Chester, OH 45069-7114
Phone (513) 772-0575

Other identifiers 1

IdentifierTypeStateIssuer
2642073MedicaidOH

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
010873OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spirit Homecare Inc. CurrentSince Feb 16, 2006 Accepting new patients
Spirit Hospice LLC CurrentSince Feb 22, 2019 Accepting new patients

Locations

8849 Brookside Ave
Ste 101
West Chester, OH 45069
Phone (513) 772-0575

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1083821235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 BROOKSIDE AVE STE 101",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697114",
            "telephone_number": "513-772-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 BROOKSIDE AVE STE 101",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697114",
            "telephone_number": "513-772-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAJJAD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "010873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642073",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.