Abdulrahman Alahmad, PT – Physical Therapist

Key facts

NPI: 1124458971
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 2305209922 (VA)
Practice address: 4401 Fair Lakes CT # 304
Fairfax, VA 22033-3805
Phone: (917) 615-3518
NPI assigned: Nov 14, 2013
Sex: Male
Sole proprietor: No

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.

Project Health Physical Therapy and Wellness LLC Physical Therapist · Fairfax, VA · NPI 1740009703

Medicare reassignment NPD Authorized official DC · PHYSICAL THERAPIST
Project Health Corp Home Health Agency · Fairfax, VA · NPI 1184316523

NPD Authorized official

Owned or controlled facilities with NPI records 1

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

Project Health Corp Home Health Agency · Fairfax, VA · NPI 1184316523

CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · CORPORATE DIRECTOR · CORPORATE OFFICER · W-2 MANAGING EMPLOYEE

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4401 Fair Lakes CT
Suite 304
Fairfax, VA 22033-3805
Phone (971) 615-3518

Medicare participation

Medicare fee-for-service enrollment: Enrolled in DC

All facility ownership & control disclosures 1

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

Facility	Type	Role	Since
Project Health Corp Fairfax, VA · CCN 497819	Home health agency	5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Corporate Director (100%) W-2 Managing Employee (100%)	Mar 30, 2020 Mar 30, 2020 Mar 30, 2020 Mar 30, 2020

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20241230001932	DC	Practitioner - Physical Therapist in Private Practice	3072741024	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Project Health Corp		Current since Oct 13, 2024	Accepting new patients
Project Health Physical Therapy and Wellness LLC	Physical Therapist	Current since Oct 20, 2024	Accepting new patients

Locations

4401 Fair Lakes Ct
Ste 304
Fairfax, VA 22033
Phone (971) 615-3518

4401 Fair Lakes Ct
#304
Fairfax, VA 22033
Phone (917) 615-3518

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	2305209922	VA	Yes

Addresses

Primary practice location

4401 Fair Lakes CT # 304
Fairfax, VA 22033-3805

Mailing address

3638 Buckeye CT
Fairfax, VA 22033-1254
Phone (917) 615-3518

Other providers in Fairfax, VA

All providers in Fairfax, VA · Physical Therapist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.