Active NPI
Ahmed Khan, R.P.T.
- Physical Therapist
- San Jose, CA
National Provider Identifier
1326165986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15613
- Practice address
- 1360 Trailside CT
San Jose, CA 95138-2742 - Phone
- (408) 603-0770
- NPI assigned
- Mar 26, 2007
- Last updated
- Feb 10, 2020
- 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 | 15613 | CA | Primary |
Addresses
Primary practice location
1360 Trailside CT
San Jose, CA 95138-2742
Mailing address
1360 Trailside CT
San Jose, CA 95138-2742
Phone (408) 603-0770
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Therapy Inc | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1326165986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 TRAILSIDE CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951382742",
"telephone_number": "408-603-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 TRAILSIDE CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951382742",
"telephone_number": "408-603-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AHMED",
"name_prefix": "Mr.",
"credential": "R.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "15613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.