Azeeam S Khaleel, PT

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

PT19430 Issued in FL

Practice address

721 Calabria Way
Howey in the Hills, FL 34737-0047

Phone

(407) 844-7036

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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.

• Charlotte Workers Comp Injury Center Inc

  • Massage Therapist
  • Punta Gorda, FL
  • NPI 1982699807

  Electrophysiology, Clinical

  NPD (past)
• CHCP Services LLC

  • Internal Medicine Physician
  • Ocoee, FL
  • NPI 1053701987
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2022.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1154436798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CALABRIA WAY",
            "city": "HOWEY IN THE HILLS",
            "state": "FL",
            "postal_code": "347370047",
            "telephone_number": "407-844-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CALABRIA WAY",
            "city": "HOWEY IN THE HILLS",
            "state": "FL",
            "postal_code": "347370047",
            "telephone_number": "407-844-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALEEL",
        "first_name": "AZEEAM",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "FL",
            "license": "PT19430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jasmine Hutchings, APRN
• Natasha Monique James, LMHC
• Lowell F Clark MD PA
• Cynthia Marcotte, BCABA
• Michael Medlin, LCSW, MHA, QST
• Mikala Moffitt, LCSW
• Natasha Noble

• All providers in Howey in the Hills, FL
• Clinical Electrophysiology Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.