Active NPI
Kwasi Asare-Acquah
- Physical Therapist
- Gardendale, AL
National Provider Identifier
1104943471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6939
- Practice address
- 651 Main St
Suite 119
Gardendale, AL 35071-2789 - Phone
- (205) 608-3113
- Fax
- (205) 608-3036
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501013042 | MI | |
| Physical Therapist | 225100000X | 0285531 | NY | |
| Physical Therapist | 225100000X | 018437 | PA | |
| Physical Therapist | 225100000X | PTH6939 | AL | Primary |
Addresses
Primary practice location
651 Main St
Suite 119
Gardendale, AL 35071-2789
Mailing address
651 Main St
Suite 119
Gardendale, AL 35071-2789
Phone (205) 608-3113
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH6939 | AL | MD | Physical Therapist |
| 5501013042 | MI | MD | Physical Therapist |
| 0285531 | NY | MD | Physical Therapist |
| 018437 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1104943471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 MAIN ST",
"address_2": "SUITE 119",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712789",
"telephone_number": "205-608-3113",
"fax_number": "205-608-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 MAIN ST",
"address_2": "SUITE 119",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712789",
"telephone_number": "205-608-3113",
"fax_number": "205-608-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASARE-ACQUAH",
"first_name": "KWASI",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013042",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0285531",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "018437",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.