Esaam Nabil Kamareddine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT027264 Issued in CA

Practice address

1600 Main St FL 2
Venice, CA 90291-3626

Phone

(888) 859-0145

NPI assigned

Nov 5, 2018

Last updated

Feb 23, 2023By the provider in NPPES

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

Enrolled in NJ, NY, DC3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  Medicare reassignment Care Compare group NPD
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  DC, Physical Therapist

  Medicare reassignment NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Francisco, CA
  • NPI 1457004897
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1639647035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK PL STE 2",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579806",
            "telephone_number": "717-477-8030",
            "fax_number": "717-477-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MAIN ST FL 2",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913626",
            "telephone_number": "888-859-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Park Pl Ste 2",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579806",
            "country_code": "US",
            "telephone_number": "717-477-8030",
            "fax_number": "717-477-8040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMAREDDINE",
        "first_name": "ESAAM",
        "middle_name": "NABIL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027264",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT027264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Kahane, M.F.T.
• Kaiser Permanente
• Athanasia Nancy Kakoyannis, D.O.
• Leonard Kalina, ACUPUNCTURIST
• Melissa Renee Kallsen, L.AC
• Traci Kapp
• Allee Karmazyn
• Beverly Ann Karpman, M.D.
• Tanya Kavoussi
• Despina Ghaby Kayichian, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.