Individual provider Active NPI

Ahmed Hassan Mostafa, DPT

  • Physical Therapist
  • Annandale, VA
National Provider Identifier
1215033634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204086 Issued in VA
Practice address
5029 Backlick Rd Ste a
Annandale, VA 22003-6044
Phone
(703) 333-5288
Fax
(703) 333-5952
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2305204086 VA Primary

Addresses

Primary practice location

5029 Backlick Rd Ste a
Annandale, VA 22003-6044

Mailing address

5029 Backlick Rd Ste a
Annandale, VA 22003-6044
Phone (703) 333-5288

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
Virginia Health Center Physical Therapist PastSince Sep 15, 2006 Accepting new patients
Virginia Healthcare Services of Norfolk LLC PastSince Nov 20, 2015 Accepting new patients
Achievement Rehabilitation Care PastSince Jan 1, 1998 Accepting new patients

Organizations & group practices 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215033634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 BACKLICK RD STE A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036044",
            "telephone_number": "703-333-5288",
            "fax_number": "703-333-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5029 BACKLICK RD STE A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036044",
            "telephone_number": "703-333-5288",
            "fax_number": "703-333-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAFA",
        "first_name": "AHMED",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.