Asaad Elmedkhar

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1149 Jefferson Davis Hwy
Fredericksburg, VA 22401

Phone

(540) 322-2518

NPI assigned

Mar 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1861906166
  NPD (past)
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Roanoke, VA
  • NPI 1437664356
  NPD (past)

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1700580677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PRESIDENTIAL DR APT A",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198073208",
            "telephone_number": "302-803-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 JEFFERSON DAVIS HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-322-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMEDKHAR",
        "first_name": "ASAAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Kay Elliott, MASTERS
• Sabrina Nicole Elliott, MD
• Desiree Ellis
• Jacqueline Nicole Ellis, LMT
• Joan R Ellmore, CRNP
• Mohamed Elnahass, D.D.S.
• Mohammed Elsaid, BDS,MSC, PHD
• Mostafa Amir Elsayed
• Earl Thomas Elstner Jr., D.M.D.
• Kasra Moghadam Emami

• Physical Therapy Assistant in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.