Active NPI
Makkah Rehabilitation PT LLC
- Physical Therapist
- Aldie, VA
National Provider Identifier
1164173100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MAKKAH REHABILITATION PT LLC
- Practice address
- 41375 Tarragon Leaf Dr
Aldie, VA 20105-5982 - Phone
- (201) 450-0569
- NPI assigned
- Jan 11, 2022
- Last updated
- Jan 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khalid Attia, D.P.T
- Title
- DPT
- Phone
- (201) 450-0569
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
41375 Tarragon Leaf Dr
Aldie, VA 20105-5982
Mailing address
41375 Tarragon Leaf Dr
Aldie, VA 20105-5982
Phone (201) 450-0569
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Astoria, NY
- NPI 1881246544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1164173100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41375 TARRAGON LEAF DR",
"city": "ALDIE",
"state": "VA",
"postal_code": "201055982",
"telephone_number": "201-450-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41375 TARRAGON LEAF DR",
"city": "ALDIE",
"state": "VA",
"postal_code": "201055982",
"telephone_number": "201-450-0569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKKAH REHABILITATION PT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "ATTIA",
"authorized_official_first_name": "KHALID",
"authorized_official_title_or_position": "DPT",
"authorized_official_telephone_number": "201-450-0569",
"authorized_official_credential": "D.P.T"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aldie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.