Active NPI
Ali Dakhlallah, OT
- Occupational Therapy Assistant
- San Diego, CA
National Provider Identifier
1285067009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1362
- Practice address
- 3242 Ashford St
Unite J
San Diego, CA 92111-5056 - Phone
- (310) 439-0633
- NPI assigned
- Aug 15, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1362 | CA | Primary |
Addresses
Primary practice location
3242 Ashford St
Unite J
San Diego, CA 92111-5056
Mailing address
1010 University Ave
Ste 113-485
San Diego, CA 92103-3398
Phone (310) 439-0633
Other names 1
- Alex Dakhl
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1362 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body in Motion Therapy, P.C | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1932707957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1285067009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 UNIVERSITY AVE",
"address_2": "STE 113-485",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033398",
"telephone_number": "310-439-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3242 ASHFORD ST",
"address_2": "UNITE J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115056",
"telephone_number": "310-439-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKHLALLAH",
"first_name": "ALI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "1362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEX",
"last_name": "DAKHL",
"credential": "ALEX DAKHL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.