Individual provider Active NPI

Ahmed Aly Sayed Aly

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1407248263
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012383 Issued in GA
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

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20160831002511 GA Practitioner - Physical Therapist in Private Practice 4688960560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Unique Care LLCGroup PAC ID 4486940467, 5 clinicians

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

LicenseStateTypeSpecialty
PT012383GAMDPhysical Therapist
037492-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Care LLC Physical Therapist CurrentSince Jun 17, 2016 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.

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.

Verify at the official NPI Registry.