Active NPI
Ahmed Abdelaty
- Physical Therapist
- Plano, TX
National Provider Identifier
1649642315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1341547
- 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
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 | 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
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
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 100
- Quality
- 89.74
- Improvement activities
- 40
- Cost
- 61.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1341547 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Texas Physio Associates PC | Physical Therapist | Current | Accepting new patients |
| Klnkl PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Plano, TX
- NPI 1396594313
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Physical Therapist
- Plano, TX
- NPI 1750276440
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.