Active NPI
Smajil Mulahmetovic
- Physical Therapist
- Hamburg, NY
National Provider Identifier
1477073690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4188 Tisbury LN
Hamburg, NY 14075-1343 - Phone
- (716) 984-9423
- NPI assigned
- Jun 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | OH | ||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4188 Tisbury LN
Hamburg, NY 14075-1343
Mailing address
4188 Tisbury LN
Hamburg, NY 14075-1343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1477073690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4188 TISBURY LN",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4188 TISBURY LN",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751343",
"telephone_number": "716-984-9423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULAHMETOVIC",
"first_name": "SMAJIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.