Active NPI
Shuaib Akbari, PTA
- Specialist
- Callahan, FL
National Provider Identifier
1184935157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTA21853
- Practice address
- 45390 Green Ave
Callahan, FL 32011-3711 - Phone
- (904) 879-1223
- Fax
- (904) 879-4986
- NPI assigned
- Jun 24, 2010
- Last updated
- May 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PTA21853 | FL | Primary |
Addresses
Primary practice location
45390 Green Ave
Callahan, FL 32011-3711
Mailing address
PO Box 1609
Callahan, FL 32011-1609
Phone (904) 879-1223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA21853 | Other | FL | STATE OF FLORIDA LICENSE BUREAU |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA21853 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Physical Therapy Inc | Specialist | Past | Accepting new patients |
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.
-
- Specialist
- Callahan, FL
- NPI 1487872651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1184935157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1609",
"city": "CALLAHAN",
"state": "FL",
"postal_code": "320111609",
"telephone_number": "904-879-1223",
"fax_number": "904-879-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45390 GREEN AVE",
"city": "CALLAHAN",
"state": "FL",
"postal_code": "320113711",
"telephone_number": "904-879-1223",
"fax_number": "904-879-4986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKBARI",
"first_name": "SHUAIB",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PTA21853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA LICENSE BUREAU",
"identifier": "PTA21853",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Callahan, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.