Favad Akhtar

Individual provider Active NPI Physical Therapy Clinic/Center · Hyannis, MA

NPI 1124816566 · NPPES record last updated Apr 26, 2025

Key facts

NPI
1124816566
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
40QA01971200 (NJ)
Practice address
25 Communication Way
Hyannis, MA 02601-8137
Phone
(800) 631-3900
NPI assigned
Apr 26, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000025355MAMDPhysical Therapist
40QA01971200NJMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Mobile Therapy, PLLC Physical Therapist Current
since Jun 3, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 000025355 MA
Physical Therapy Clinic/Center 261QP2000X 40QA01971200 NJ Yes

Addresses

Primary practice location

25 Communication Way
Hyannis, MA 02601-8137

Mailing address

49 Harbor Rd
Hyannis, MA 02601-4838
Phone (609) 334-4603

Other providers in Hyannis, MA

All providers in Hyannis, MA · Physical Therapy Clinic/Center in Massachusetts

Sources for this page

Verify at the official NPI Registry.