Individual provider Active NPI

Saajid Musheno-King

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1285289355
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028000 Issued in PA
Practice address
1700 S Broad St Apt 201
Philadelphia, PA 19145-2340
Phone
(215) 685-1800
NPI assigned
Aug 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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 PT028000 PA Primary

Addresses

Primary practice location

1700 S Broad St Apt 201
Philadelphia, PA 19145-2340

Mailing address

123 S Broad St Ste 650
Philadelphia, PA 19109-1013
Phone (215) 567-8001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028001178 PA Practitioner - Physical Therapist in Private Practice 2668704412 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Aug 18, 2019 Accepting new patients
City of Philadelphia CurrentSince Jun 1, 2024 Accepting new patients
City of Philadelphia Current Accepting new patients
City of Philadelphia CurrentSince Jun 1, 2024 Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

3409 West Chester Pike
Ste 200
Newtown Square, PA 19073
Phone (610) 353-6624

1101 Market St
Fl 10
Philadelphia, PA 19107

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

1700 S Broad St
Apt 201
Philadelphia, PA 19145
Phone (215) 685-1800

Organizations & group practices 4

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1285289355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 650",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191091013",
            "telephone_number": "215-567-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BROAD ST APT 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452340",
            "telephone_number": "215-685-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHENO-KING",
        "first_name": "SAAJID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.