Essam Fathy, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000001078 Issued in TN

Practice address

433 E Burton St
Murfreesboro, TN 37130-3855

Phone

(615) 896-8500

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dynamic Rehab Physical Therapy

  • Physical Therapist
  • Smyrna, TN
  • NPI 1629134234
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1417023854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E BURTON ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303855",
            "telephone_number": "615-896-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E BURTON ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303855",
            "telephone_number": "615-896-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHY",
        "first_name": "ESSAM",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000001078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "62-1514510",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3106299",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Marie Farris, D,C,
• Gina Marie Fasano, PA-C
• Leah Marie Fassinger, MD
• Fast Pace Medical Clinic PLLC
• Fastran LLC (Non Emergency Medical Transportation)
• Safaa Fathy, R.P.T.
• Tanya Leigh Faulk
• Jaydon Favors
• Shazia Fazili, M.D.
• Adam Gerard Fedewa

• Physical Therapist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.