Individual provider Active NPI

Yusuf Haroon Ezzy, RPT

  • Physical Therapist
  • Cypress, TX
National Provider Identifier
1093100208
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1222178 Issued in TX
Practice address
16907 Himley Dr
Cypress, TX 77433-5002
Phone
(832) 776-9375
NPI assigned
Apr 3, 2015
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 1222178 TX Primary

Addresses

Primary practice location

16907 Himley Dr
Cypress, TX 77433-5002

Mailing address

16907 Himley Dr
Cypress, TX 77433-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226003734 TX Practitioner - Physical Therapist in Private Practice 3476928334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zainie Therapy PLLCGroup PAC ID 9830619436, 7 clinicians

Practice addresses (Care Compare)

27721 State Hwy 249
Suite 700
Tomball, TX 77375-6561
Phone (832) 776-9375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zainie Therapy PLLC Physical Therapist CurrentSince May 3, 2024 Accepting new patients
SMS Home Health LLC CurrentSince Jan 27, 2023 Accepting new patients
SMS Hospice Care LLC CurrentSince Mar 27, 2024 Accepting new patients

Locations

27721 State Highway 249
Ste 700
Tomball, TX 77375
Phone (281) 417-3500

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SMS Home Health LLCHouston, TX, CCN 748090 Home health agency 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)
Jan 27, 2023
Jan 27, 2023
SMS Hospice Care LLCHouston, TX, CCN A91763 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Mar 27, 2024
Mar 27, 2024
Aug 28, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1093100208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16907 HIMLEY DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16907 HIMLEY DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335002",
            "telephone_number": "832-776-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZY",
        "first_name": "YUSUF",
        "middle_name": "HAROON",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1222178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.