Individual provider Active NPI

Ahmed Abdelaty

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1649642315
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1341547 Issued in TX
Practice address
5060 Tennyson Pkwy Ste 303
Plano, TX 75024-4170
Phone
(469) 897-1360
NPI assigned
Oct 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1341547 TX Primary

Addresses

Primary practice location

5060 Tennyson Pkwy Ste 303
Plano, TX 75024-4170

Mailing address

4250 Walnut Grove LN
Prosper, TX 75078-5178
Phone (347) 525-6132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220426000014 TX Practitioner - Physical Therapist in Private Practice 9638566409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physio Associates PCGroup PAC ID 6608318084, 2 clinicians

Practice addresses (Care Compare)

5060 Tennyson Pkwy
Suite 303
Plano, TX 75024-4170
Phone (469) 361-0599

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
89.74
Improvement activities
40
Cost
61.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1341547TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 14, 2022 Accepting new patients
Texas Physio Associates PC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Klnkl PLLC Physical Therapist CurrentSince Jun 15, 2025 Accepting new patients

Locations

5060 Tennyson Pkwy
Ste 303
Plano, TX 75024
Phone (469) 361-0599

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1649642315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 WALNUT GROVE LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750785178",
            "telephone_number": "347-525-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 TENNYSON PKWY STE 303",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244170",
            "telephone_number": "469-897-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELATY",
        "first_name": "AHMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-21",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1341547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.