Individual provider Active NPI

Adel M Hussein, P.T.

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1205833506
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3243 Issued in TN
Practice address
300 Prosperity Rd
Suite # 102
Knoxville, TN 37923-4717
Phone
(865) 693-0018
Fax
(865) 693-0082
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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 3243 TN Primary

Addresses

Primary practice location

300 Prosperity Rd
Suite # 102
Knoxville, TN 37923-4717

Mailing address

139 Fox Rd
Ste 203
Knoxville, TN 37922-3472
Phone (865) 693-0018

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

State licenses

LicenseStateTypeSpecialty
3243TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Neuropathy, PC PastSince Apr 1, 2013 Accepting new patients
Dermatopathology Partners PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1205833506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FOX RD",
            "address_2": "STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223472",
            "telephone_number": "865-693-0018",
            "fax_number": "865-693-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROSPERITY RD",
            "address_2": "SUITE # 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234717",
            "telephone_number": "865-693-0018",
            "fax_number": "865-693-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "ADEL",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.