Individual provider Active NPI

Arsalan Nejad, DPT

  • Physical Therapist
  • Providence, RI
National Provider Identifier
1407522659
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT03830 Issued in RI
Practice address
285 Governor St
Providence, RI 02906-3237
Phone
(401) 276-0800
NPI assigned
Aug 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 28612 MD
Physical Therapist 225100000X PT03830 RI Primary

Addresses

Primary practice location

285 Governor St
Providence, RI 02906-3237

Mailing address

12200 Tech Rd Ste 120
Silver Spring, MD 20904-7871
Phone (301) 588-3929

Other practice location 1

12200 Tech Rd Ste 120
Silver Spring, MD 20904-7871
Phone (301) 588-3929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627003367 RI Practitioner - Physical Therapist in Private Practice 3678017910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy LLCGroup PAC ID 1951295187, 73 clinicians

Practice addresses (Care Compare)

285 Governor St
Providence, RI 02906-3237
Phone (401) 276-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28612MDMDPhysical Therapist
PT03830RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arso Neuro Rehab and Orthopedic Center Physical Therapist CurrentSince Jul 10, 2022 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince Jun 6, 2024 Accepting new patients
Arso Neuro Rehab and Orthopedic Center, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

12200 Tech Rd
Ste 120
Silver Spring, MD 20904
Phone (301) 588-3929

285 Governor St
Providence, RI 02906
Phone (401) 231-0500

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1407522659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 TECH RD STE 120",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047871",
            "telephone_number": "301-588-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063237",
            "telephone_number": "401-276-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Tech Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209047871",
            "country_code": "US",
            "telephone_number": "301-588-3929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEJAD",
        "first_name": "ARSALAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28612",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.