Ashraf Youssief – Physical Therapist

Key facts

NPI: 1447578232
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 070007546 (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
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20060320000034	IL	Practitioner - Physical Therapist in Private Practice	7719994664

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
070.007546	IL	MD	Physical Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	070007546	IL	Yes
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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 4, 2010.

{
    "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

All providers in Palos Heights, IL · Physical Therapist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.