Hasaan Khawaja, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19724 Issued in MA

Practice address

43 Hillcrest Cir
Westfield, MA 01085-1871

Phone

(413) 563-8566

NPI assigned

May 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Revitalize Rehab PLLCGroup PAC ID 9537536966, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Revitalize Rehab PLLC

  • Physical Therapist
  • Westfield, MA
  • NPI 1801515820
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1306411079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HILLCREST CIR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HILLCREST CIR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851871",
            "telephone_number": "413-563-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAJA",
        "first_name": "HASAAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13064",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kendall
• Shantilal Kenia, M.D., FACC
• Kens'Eyewear Inc.
• Angela Kentish
• Kevin a. Pighetti, DC Dba New England Chiropractic Care
• Lisa M Killips, NP
• Kind Connections ABA LLC
• Gurpal S Kingra, MD
• Brendon Earl Kinsley, MD
• Susan Barbara Klein-Berndt, M.ED.

• Physical Therapist in Westfield, MA
• Providers in Westfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.

Verify at the official NPI Registry.