Active NPI
Hashem Amr Jarrah
- Physical Therapist
- Anaheim, CA
National Provider Identifier
1649815275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297538
- Practice address
- 325 N State College Blvd
Anaheim, CA 92806-2915 - Phone
- (657) 220-4002
- Fax
- (657) 201-3763
- NPI assigned
- Nov 6, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 297538 | CA | Primary |
Addresses
Primary practice location
325 N State College Blvd
Anaheim, CA 92806-2915
Mailing address
329 N State College Blvd
Anaheim, CA 92806-2915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
325 N State College Blvd
Anaheim, CA 92806-2915
Phone (714) 732-9259
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297538 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amr Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
325 N State College Blvd
Anaheim, CA 92806
Phone (657) 220-4002
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1649815275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 N STATE COLLEGE BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928062915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N STATE COLLEGE BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928062915",
"telephone_number": "657-220-4002",
"fax_number": "657-201-3763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRAH",
"first_name": "HASHEM",
"middle_name": "AMR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-06",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.