Gamal Ramadan Elsayed, PT, DSC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004402A Issued in IN

Practice address

11330 Knightsbridge LN
Fishers, IN 46037-9151

Phone

(317) 410-2868

Fax

(317) 578-3638

NPI assigned

Oct 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Medic Az Quality

  • Physical Therapy Clinic/Center
  • Fishers, IN
  • NPI 1417283953
  NPD (past) Authorized official

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255824000000",
    "number": "1306172846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 KNIGHTSBRIDGE LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379151",
            "telephone_number": "317-410-2868",
            "fax_number": "317-578-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 KNIGHTSBRIDGE LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379151",
            "telephone_number": "317-410-2868",
            "fax_number": "317-578-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "GAMAL",
        "middle_name": "RAMADAN",
        "credential": "PT, DSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-18",
        "last_updated": "2009-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004402A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "05004402A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dree Ellingworth, CCC-SLP
• Abigail Elliott
• James Elliott
• Paul Joseph Elmer, R.PH.
• Leah Elms
• Mohamed Elshazly
• Lindsey Elskus
• Radharani Eluri, M.D.,
• Cole Elzie
• Scott E Emch, DVM

• Physical Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.