Tareq Ayyad

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160004818 Issued in IL

Practice address

11730 Lighthouse LN
Palos Heights, IL 60463

Phone

(708) 949-0784

NPI assigned

May 4, 2015

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1609253160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11730 LIGHTHOUSE LN",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631040",
            "telephone_number": "708-949-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11730 LIGHTHOUSE LN",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-949-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYYAD",
        "first_name": "TAREQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160004818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athletico LTD
• Osama Khairy Atieh, M.D.
• Rosemary Atta-Fynn, M.D.
• Lina Avizienis, APRN
• Awakening Hope Family Services Inc
• Back to Health PT, PLLC
• Noor Bader, APRN, CRNA
• Casey Badwan, PHARMD
• Khalid H Badwan, MD
• Meagan O'Brien Bailey, MD

• Physical Therapy Assistant in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.