Individual provider Active NPI

Ashraf Saad, DPT

  • Physical Therapist
  • Wayne, NJ
National Provider Identifier
1639111909
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01732100 Issued in NJ
Practice address
13 Lake Dr W
Wayne, NJ 07470-5803
Phone
(917) 407-5054
Fax
(201) 625-6699
NPI assigned
Jun 12, 2006
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 017594 NY
Physical Therapist 225100000X 40QA01732100 NJ Primary
Physical Therapist 225100000X 017594 NY

Addresses

Primary practice location

13 Lake Dr W
Wayne, NJ 07470-5803

Mailing address

828 Bay Ridge Ave
Brooklyn, NY 11220-5731
Phone (718) 833-7102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060323000415 NY Practitioner - Physical Therapist in Private Practice 0749298362 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
I20190218001473 NJ Practitioner - Physical Therapist in Private Practice 0749298362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

354 Totowa Ave
Apt 1
Paterson, NJ 07502-2162
Phone (917) 407-5054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017594NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Touch PT, PC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Step Up Therapy Services PT,OT,SLP,Psychologist,LMSW,PLLC Current Accepting new patients
Allhealth Rehab LLC Physical Therapist CurrentSince May 29, 2018 Accepting new patients
Advanced Recovery Equipment and Supplies LLC PastSince Jan 21, 2022 Accepting new patients

Locations

8105 Queens Blvd
Unit S2
Elmhurst, NY 11373
Phone (646) 331-7186

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1639111909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205731",
            "telephone_number": "718-833-7102",
            "fax_number": "718-833-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 LAKE DR W",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705803",
            "telephone_number": "917-407-5054",
            "fax_number": "201-625-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "ASHRAF",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "017594",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01732100",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.