Athletx Performance & Rehab LLC
Organization Active NPI Physical Therapist · Frisco, TX
NPI 1467212977 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1467212977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ATHLETX PERFORMANCE & REHAB LLC
- Practice address
- 9320 Dallas Pkwy Ste 190
Frisco, TX 75033-4206 - Phone
- (469) 230-3015
- NPI assigned
- Mar 21, 2024
- Organization subpart
- No
Authorized official
- Name
- Malik Okkehj
- Title
- Owner
- Phone
- (469) 230-3015
Practitioners 1
-
Hamed Qashmar, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240702000587 | TX | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3274077284 |
Receives reassigned benefits from 1 practitioner Practice locations: Frisco, TX |
National Provider Directory
Locations
9320 Dallas Pkwy
Ste 190
Frisco, TX 75033
Phone (469) 230-3015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
9320 Dallas Pkwy Ste 190
Frisco, TX 75033-4206
Mailing address
9320 Dallas Pkwy Ste 190
Frisco, TX 75033-4206
Phone (469) 230-3015
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. 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.