Individual provider Active NPI

Ashraf Youssief

  • Physical Therapist
  • Palos Heights, IL
National Provider Identifier
1447578232
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070007546 Issued in IL
Practice address
12413 S Harlem Ave
Suite # 1.S E
Palos Heights, IL 60463-1442
Phone
(708) 361-1133
Fax
(708) 361-1188
NPI assigned
May 4, 2010
Last updated
May 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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 070007546 IL Primary
Physical Therapist 225100000X 070.007546 IL

Addresses

Primary practice location

12413 S Harlem Ave
Suite # 1.S E
Palos Heights, IL 60463-1442

Mailing address

12413 S Harlem Ave
Suite # 1.S E
Palos Heights, IL 60463-1442
Phone (708) 361-1133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000034 IL Practitioner - Physical Therapist in Private Practice 7719994664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.007546ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1447578232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 S HARLEM AVE",
            "address_2": "SUITE # 1.S E",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631442",
            "telephone_number": "708-361-1133",
            "fax_number": "708-361-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12413 S HARLEM AVE",
            "address_2": "SUITE # 1.S E",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631442",
            "telephone_number": "708-361-1133",
            "fax_number": "708-361-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSIEF",
        "first_name": "ASHRAF",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007546",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.007546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.