Active NPI
Ahmed Aly Sayed Aly
- Physical Therapist
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012383
- Practice address
- 1165 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043-8741 - Phone
- (678) 761-1280
- Fax
- (678) 550-9728
- NPI assigned
- Mar 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012383 | GA | Primary |
| Physical Therapist | 225100000X | 037492-1 | NY |
Addresses
Primary practice location
1165 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043-8741
Mailing address
1455 Ox Bridge Way
Lawrenceville, GA 30043-5403
Phone (860) 574-2163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4465 Nelson Brogdon Blvd
Suite 102
Buford, GA 30518-3724
Phone (678) 761-1280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012383 | GA | MD | Physical Therapist |
| 037492-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Care LLC | Physical Therapist | Current | Accepting new patients |
| JK Health Care Group, Inc | Past | Accepting new patients |
Locations
1900 The Exchange SE
Ste 400
Atlanta, GA 30339
Phone (678) 250-8050
4465 Nelson Brogdon Blvd
Ste 102
Buford, GA 30518
Phone (678) 761-1280
1675 Peachtree Pkwy
Ste 170
Cumming, GA 30041
Phone (678) 761-1280
4470 Satellite Blvd
Ste 208
Duluth, GA 30096
Phone (678) 761-1280
3775 Venture Dr
Bldg N
Duluth, GA 30096
Phone (770) 817-9608
1404 Lawrenceville Suwanee Rd
Ste A1
Lawrenceville, GA 30043
Phone (678) 761-1280
1165 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043
Phone (678) 646-1280
Organizations & group practices 2
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.
-
- Physical Therapist
- Lawrenceville, GA
- NPI 1144670589
-
- Chiropractor
- Duluth, GA
- NPI 1366794786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1407248263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 OX BRIDGE WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435403",
"telephone_number": "860-574-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 LAWRENCEVILLE SUWANEE RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300438741",
"telephone_number": "678-761-1280",
"fax_number": "678-550-9728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALY",
"first_name": "AHMED",
"middle_name": "ALY SAYED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-03",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012383",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037492-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.