Active NPI
Nader Hanna Wahba, PT
- Physical Therapist
- Kissimmee, FL
National Provider Identifier
1629287693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11682
- Practice address
- 100 N John Young Pkwy
Kissimmee, FL 34741-5409 - Phone
- (407) 201-3363
- NPI assigned
- May 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11682 | FL | Primary |
Addresses
Primary practice location
100 N John Young Pkwy
Kissimmee, FL 34741-5409
Mailing address
14016 Sierra Vista Dr
Orlando, FL 32837-4776
Phone (321) 276-2152
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11682 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Rehabilitation and Wellness Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Maitland, FL
- NPI 1679511364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1629287693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14016 SIERRA VISTA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328374776",
"telephone_number": "321-276-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N JOHN YOUNG PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415409",
"telephone_number": "407-201-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHBA",
"first_name": "NADER",
"middle_name": "HANNA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "11682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.