Ahmed Elsawi, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00418300 Issued in NJ

Practice address

100 McClellen St
Norwood, NJ 07648-1555

Phone

(201) 768-6222

NPI assigned

Feb 4, 2021

Reactivated

Oct 22, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1255923884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCCLELLEN ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481555",
            "telephone_number": "646-465-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCCLELLEN ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481555",
            "telephone_number": "201-768-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAWI",
        "first_name": "AHMED",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "deactivation_date": "2022-06-20",
        "reactivation_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "012737",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00418300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedicated Medical Providers LLC
• Michael Diaz, D.C.
• Margaret Kelly Downey, M.D.
• Drug Fair Norwood Pharmacy Department
• Ej Physical Therapy,P.C.
• Sheila Esposito, M.A.,CCC/SLP
• Excelcare at Norwood LLC
• Eyecare First LLC
• Mary Falkenstern, M.S. SLP
• Kimberly Faustini

• Physical Therapy Assistant in Norwood, NJ
• Providers in Norwood, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.