Individual provider Active NPI

Amin Mohammed Khan, PT

  • Physical Therapist
  • Ocala, FL
National Provider Identifier
1144372723
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9864 Issued in FL
Practice address
3002 SE 1St Ave Ste 200
Ocala, FL 34471
Phone
(352) 216-6836
Fax
(352) 248-0924
NPI assigned
Jan 17, 2007
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT9864 FL Primary

Addresses

Primary practice location

3002 SE 1St Ave Ste 200
Ocala, FL 34471

Mailing address

3002 SE 1St Ave
Suite 200
Ocala, FL 34471-0477
Phone (352) 216-6836

Other practice location 1

2685 SW 32nd Pl
Suite 200
Ocala, FL 34474-7162
Phone (352) 629-0033

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Rehab, LLC Physical Therapist Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1144372723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE",
            "address_2": "SUITE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710477",
            "telephone_number": "352-216-6836",
            "fax_number": "352-248-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-216-6836",
            "fax_number": "352-248-0924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2685 SW 32nd Pl",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344747162",
            "country_code": "US",
            "telephone_number": "352-629-0033",
            "fax_number": "352-629-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMIN",
        "middle_name": "MOHAMMED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT9864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.