Individual provider Active NPI

Shukri Abdullahi Hirsi-Essa, DPT

  • Physical Therapist
  • Manassas, VA
National Provider Identifier
1275532244
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203280 Issued in VA
Practice address
8811 Sudley Rd
Suite #115
Manassas, VA 20110-4750
Phone
(571) 292-2600
Fax
(703) 393-6645
NPI assigned
Jul 20, 2005
Last updated
May 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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 2305203280 VA Primary

Addresses

Primary practice location

8811 Sudley Rd
Suite #115
Manassas, VA 20110-4750

Mailing address

8811 Sudley Rd Ste 115
Manassas, VA 20110-4750
Phone (571) 292-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090414000182 VA Practitioner - Physical Therapist in Private Practice 1759438534 Practice locations: Manassas, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305203280VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1275532244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 SUDLEY RD STE 115",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104750",
            "telephone_number": "571-292-2600",
            "fax_number": "703-393-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 SUDLEY RD",
            "address_2": "SUITE #115",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104750",
            "telephone_number": "571-292-2600",
            "fax_number": "703-393-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSI-ESSA",
        "first_name": "SHUKRI",
        "middle_name": "ABDULLAHI",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.