Individual provider Active NPI

Islam Abdelaty

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1265612501
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1339245 Issued in TX
Practice address
5060 Tennyson Pkwy Ste 303
Plano, TX 75024-4170
Phone
(917) 806-3958
Fax
(469) 609-0583
NPI assigned
Nov 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027020 NY
Physical Therapist 225100000X 1339245 TX Primary

Addresses

Primary practice location

5060 Tennyson Pkwy Ste 303
Plano, TX 75024-4170

Mailing address

5060 Tennyson Pkwy Ste 303
Plano, TX 75024-4170
Phone (917) 806-3958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910004516 TX Practitioner - Physical Therapist in Private Practice 8022308394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physio Associates PCGroup PAC ID 6608318084, 2 clinicians

Practice addresses (Care Compare)

5060 Tennyson Pkwy
Suite 303
Plano, TX 75024-4170
Phone (469) 361-0599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027020NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Klnkl PLLC Physical Therapist CurrentSince Jun 15, 2025 Accepting new patients
Texas Physio Associates PC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Unique Rehab PT P.C. Past Accepting new patients

Locations

5060 Tennyson Pkwy
Ste 303
Plano, TX 75024
Phone (469) 361-0599

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": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1265612501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 TENNYSON PKWY STE 303",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244170",
            "telephone_number": "917-806-3958",
            "fax_number": "469-609-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 TENNYSON PKWY STE 303",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244170",
            "telephone_number": "917-806-3958",
            "fax_number": "469-609-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELATY",
        "first_name": "ISLAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-04",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1339245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.