Ahmed Altashi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT294940 Issued in CA

Practice address

4343 Pacific Ave Ste B1
Stockton, CA 95207-7664

Phone

(209) 425-4071

Fax

(209) 451-5687

NPI assigned

Jun 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• CV Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Stockton, CA
  • NPI 1912443631

  Physical Therapist

  NPD

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1487149456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 PACIFIC AVE STE B1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952077664",
            "telephone_number": "209-425-4071",
            "fax_number": "209-451-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTASHI",
        "first_name": "AHMED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Orthopaedic Medical Group Inc
• Nazar R Alsaffar, MD
• Alshifa Medical Group Inc
• Charalette Raychell Alston, SOLE PROPRIETOR
• Khalil Altareb
• Debbie Alter
• Heather Marie Altes
• Iyad W Altwal, D.D.S
• Evelyn Alvarado Amaya
• Kimberly Alvarado Amaya

• Physical Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.