Kareem Mahmoud Kobeissi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02403 Issued in RI

Practice address

45 Seekonk St
Providence, RI 02906-5125

Phone

(401) 722-0012

Fax

(401) 722-0056

NPI assigned

Jun 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1558622670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WAMPANOAG TRAIL",
            "address_2": "SUITE 205",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029151038",
            "telephone_number": "401-433-4049",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SEEKONK ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065125",
            "telephone_number": "401-722-0012",
            "fax_number": "401-722-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBEISSI",
        "first_name": "KAREEM",
        "middle_name": "MAHMOUD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02403",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas Koch, MD

• Physical Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.