Individual provider Active NPI

Khaled Nabil Nasr, DPT.MS.PT

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1457547374
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
62 026149 Issued in NY
Practice address
780 8TH Ave Ste 201
New York, NY 10036-7000
Phone
(212) 300-7069
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 62 026149 NY Primary

Addresses

Primary practice location

780 8TH Ave Ste 201
New York, NY 10036-7000

Mailing address

1368 Academy LN
Teaneck, NJ 07666-2112
Phone (347) 400-7698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041014001259 NY Practitioner - Physical Therapist in Private Practice 0345200275 Reassigns benefits to 2 organizations
I20151007003277 NJ Practitioner - Physical Therapist in Private Practice 0345200275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians
Body Wellness Center, LLCGroup PAC ID 7719109925, 3 clinicians

Practice addresses (Care Compare)

543 45TH St
Union City, NJ 07087-2615
Phone (844) 777-0910

7 E Main St
Ramsey, NJ 07446-1922
Phone (201) 560-0711

716 Broad St
Suite 1E
Clifton, NJ 07013-1645
Phone (973) 246-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62 026149NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Medical Group, LLC CurrentSince Jul 25, 2022 Accepting new patients
Physical Therapy Services of Flatiron PC Orthopedic CurrentSince Feb 11, 2022 Accepting new patients
Body Wellness Center LLC CurrentSince Dec 15, 2022 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Orthopedic CurrentSince Mar 3, 2022 Accepting new patients
Hands on Physical Therapy, PC Past Accepting new patients
Douglas O T Services P.C. Orthopedic Past Accepting new patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients

Locations

716 Broad St
Ste 1E
Clifton, NJ 07013
Phone (973) 246-9355

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

714 Kearny Ave
Kearny, NJ 07032
Phone (201) 772-5211

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

7 E Main St
Ramsey, NJ 07446
Phone (201) 327-1400

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

Organizations & group practices 7

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1457547374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 ACADEMY LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662112",
            "telephone_number": "347-400-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 8TH AVE STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367000",
            "telephone_number": "212-300-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASR",
        "first_name": "KHALED",
        "middle_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "DPT.MS.PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "62 026149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.