Active NPI
Farouk Elkassed, DPT
- Physical Therapist
- Fairfax, VA
National Provider Identifier
1275668808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004573
- Practice address
- 10340 Democracy LN
Suite 106
Fairfax, VA 22030-2518 - Phone
- (703) 865-5538
- NPI assigned
- Feb 23, 2007
- Last updated
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305004573 | VA | Primary |
Addresses
Primary practice location
10340 Democracy LN
Suite 106
Fairfax, VA 22030-2518
Mailing address
10340 Democracy LN
Suite 106
Fairfax, VA 22030-2518
Phone (703) 865-5538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10340 Democracy LN
Suite 106
Fairfax, VA 22030-2518
Phone (703) 865-5538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results Rehab & Fitness, Inc | Physical Therapist | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Gainesville, VA
- NPI 1386797686
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1275668808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10340 DEMOCRACY LN",
"address_2": "SUITE 106",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302518",
"telephone_number": "703-865-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10340 DEMOCRACY LN",
"address_2": "SUITE 106",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302518",
"telephone_number": "703-865-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKASSED",
"first_name": "FAROUK",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305004573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.