Individual provider Active NPI

Waqar Muhammad

  • Physical Therapist
  • Valley Stream, NY
National Provider Identifier
1396115275
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039158 Issued in NY
Practice address
24 Fairfax St
Valley Stream, NY 11580-3515
Phone
(516) 376-3414
NPI assigned
Oct 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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 039158 NY Primary

Addresses

Primary practice location

24 Fairfax St
Valley Stream, NY 11580-3515

Mailing address

24 Fairfax St
Valley Stream, NY 11580-3515
Phone (516) 376-3414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170411000995 NY Practitioner - Physical Therapist in Private Practice 4082981584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

341 N Central Ave
Valley Stream, NY 11580-1133
Phone (516) 851-7255

535 S Broadway
Suite 4
Hicksville, NY 11801-5029
Phone (516) 744-6188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Touch Physical Therapy Inc Physical Therapist Current Accepting new patients
Waqars Physical Therapy Rehab PC Physical Therapist CurrentSince Oct 20, 2016 Accepting new patients

Locations

535 S Broadway
Ste 4
Hicksville, NY 11801
Phone (516) 744-6188

341 N Central Ave
Valley Stream, NY 11580
Phone (516) 851-7255

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1396115275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FAIRFAX ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803515",
            "telephone_number": "516-376-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FAIRFAX ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803515",
            "telephone_number": "516-376-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "WAQAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.