Ilyas H Zaidi

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20105 Issued in MD

Practice address

18566 Office Park Dr
Montgomery Village, MD 20886-0587

Phone

(301) 526-3972

NPI assigned

Dec 15, 2012

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 names 1

• Mr. Ilyas H Zaidi Other name

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.

• Progressive Rehab LLC

  • Physical Therapy Clinic/Center
  • Montgomery Village, MD
  • NPI 1407292295
  NPD (past) Authorized official

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

{
    "created_epoch": "1355529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355529600000",
    "number": "1447596663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18527 RELIANT DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795419",
            "telephone_number": "301-526-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18566 OFFICE PARK DR",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208860587",
            "telephone_number": "301-526-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "ILYAS",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-15",
        "last_updated": "2012-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILYAS",
            "last_name": "ZAIDI",
            "middle_name": "H",
            "prefix": "MR.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bradley Mark Wasserman, LCSW-C
• Welltower Opco Group LLC
• Patrick William White, M.D.
• Cheryl Elaine Winchell, MD
• Wright Dentistry LLC, Dba Smile Design Studio of Montgomery Village
• Ramona Zeender, LCSW-C
• Zeest DME LLC
• Zenlife Mental Health and Wellness Services LLC
• Naz Zijerdi

• Physical Therapy Clinic/Center in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2012; 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.