Emad R Ishak, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0008047 Issued in FL

Practice address

7491 Ridgefield LN
Lake Worth, FL 33467-7329

Phone

(561) 436-9595

Fax

(561) 439-7595

NPI assigned

Jun 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MBH Rehabilitation Inc

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1245236694
  NPD
• Hospital Without Walls of Broward, Inc.

  • Home Health Agency
  • Pompano Beach, FL
  • NPI 1265541254
  NPD (past)
• Hospital Without Walls of Port St. Lucie, Inc

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1306002365
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104022599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10288 HUNT CLUB LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184577",
            "telephone_number": "561-630-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7491 RIDGEFIELD LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677329",
            "telephone_number": "561-436-9595",
            "fax_number": "561-439-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAK",
        "first_name": "EMAD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0008047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Ioia, OTR/L
• Ionm Tech LLC
• Erin Nicole Ippolito, MPT
• Iridium Medical Supply LLC
• Emilia Isaza, DDS
• Alexander Iskandar, PA-C
• Matthew Lee Islam
• Ismat a Hossain, MD PA
• Lyana Maria Issa
• Oleydis Iznaga

• Physical Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.