Individual provider Active NPI

Ali Ibrahim El-Kerdi, PHD, PT, ATC

  • Physical Therapist
  • Malvern, PA
National Provider Identifier
1417926817
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017823 Issued in PA
Practice address
2050 Diamond Rock Hill Rd
Malvern, PA 19355-9529
Phone
(410) 430-4560
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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 017823 PA Primary

Addresses

Primary practice location

2050 Diamond Rock Hill Rd
Malvern, PA 19355-9529

Mailing address

2050 Diamond Rock Hill Rd
Malvern, PA 19355-9529
Phone (410) 430-4560

Other practice location 1

1200 W Tabor Rd
Philadelphia, PA 19141-3019
Phone (215) 456-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
017823PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Therapy Associates, Inc. Physical Therapist Past Accepting new patients
Advance Therapy Services, Inc Physical Therapist Past Accepting new patients
Affiliated Physicians Network, P.C. Past Accepting new patients

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1417926817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 DIAMOND ROCK HILL RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559529",
            "telephone_number": "410-430-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 DIAMOND ROCK HILL RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559529",
            "telephone_number": "410-430-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Tabor Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413019",
            "country_code": "US",
            "telephone_number": "215-456-9800",
            "fax_number": "215-456-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-KERDI",
        "first_name": "ALI",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "PHD, PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "017823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.