Active NPI
Adam Alexander King, DPT
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1376097022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022259
- Practice address
- 1031 Seminole Dr
Fort Lauderdale, FL 33304-3243 - Phone
- (954) 787-6556
- NPI assigned
- Aug 11, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT31185 | ||
| Physical Therapist | 225100000X | 070022259 | IL | Primary |
Addresses
Primary practice location
1031 Seminole Dr
Fort Lauderdale, FL 33304-3243
Mailing address
1336 NE 5TH Ave Apt 3
Fort Lauderdale, FL 33304-1047
Other practice location 1
1290 Celebration Blvd
Kissimmee, FL 34747-4692
Phone (321) 337-7400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT31185 | Other | FL | 225100000X |
| PT31185 | Other | FL | PHYSCIAL THERAPY LICENSE |
Other names 1
- Hussain Al-Qattan
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
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1376097022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 NE 5TH AVE APT 3",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 SEMINOLE DR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043243",
"telephone_number": "954-787-6556"
}
],
"practiceLocations": [
{
"address_1": "1290 Celebration Blvd",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347474692",
"country_code": "US",
"telephone_number": "321-337-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "ADAM",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-11",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PT31185",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "225100000X",
"identifier": "PT31185",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSCIAL THERAPY LICENSE",
"identifier": "PT31185",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HUSSAIN",
"last_name": "AL-QATTAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.