Individual provider Active NPI

Zamir Ahadzada, DPT

  • Physical Therapist
  • Reston, VA
National Provider Identifier
1710405576
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211287 Issued in VA
Practice address
1760 Reston Pkwy Ste 403
Reston, VA 20190-3360
Phone
(703) 230-1760
NPI assigned
Aug 31, 2017
Last updated
Aug 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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 2305211287 VA Primary

Addresses

Primary practice location

1760 Reston Pkwy Ste 403
Reston, VA 20190-3360

Mailing address

5597 Seminary Rd Apt 1513S
Falls Church, VA 22041-3593

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171021000059 DC Practitioner - Physical Therapist in Private Practice 0941576896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodies in Motion Physical Therapy IV, LLCGroup PAC ID 7719238187, 4 clinicians

Practice addresses (Care Compare)

2800 Eisenhower Ave
Suite 105
Alexandria, VA 22314-4584
Phone (571) 777-8081

2800 Eisenhower Ave
Suite 105
Alexandria, VA 22314-5204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305211287VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodies in Motion Physical Therapy II, LLC Physical Therapist CurrentSince Sep 11, 2017 Accepting new patients

Locations

1760 Reston Pkwy
Ste 403
Reston, VA 20190
Phone (703) 230-1760

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1710405576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5597 SEMINARY RD APT 1513S",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY STE 403",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903360",
            "telephone_number": "703-230-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHADZADA",
        "first_name": "ZAMIR",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.