Active NPI
Omar Tariq Hanjra
- Physical Therapist
- Lynden, WA
National Provider Identifier
1720525223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60688398
- Practice address
- 855 Aaron Dr
Lynden, WA 98264-9396 - Phone
- (360) 354-4434
- NPI assigned
- Jan 23, 2017
- 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 | 60688398 | WA | Primary |
Addresses
Primary practice location
855 Aaron Dr
Lynden, WA 98264-9396
Mailing address
6775 147A St
Surrey, BC V3S4P9
CA
Phone (604) 704-4811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60688398 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1720525223",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "6775 147A ST",
"city": "SURREY",
"state": "BC",
"postal_code": "V3S4P9",
"telephone_number": "604-704-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 AARON DR",
"city": "LYNDEN",
"state": "WA",
"postal_code": "982649396",
"telephone_number": "360-354-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANJRA",
"first_name": "OMAR",
"middle_name": "TARIQ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60688398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynden, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.