Organization Active NPI

Project Health Physical Therapy and Wellness LLC

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1740009703
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROJECT HEALTH PHYSICAL THERAPY AND WELLNESS LLC
Practice address
4401 Fair Lakes CT # 304
Fairfax, VA 22033-3805
Phone
(917) 615-3518
NPI assigned
Oct 7, 2024
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Abdulrahman Alahmad, PTNPI 1124458971
Title
Owner/Physical Therapist
Phone
(917) 615-3518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4401 Fair Lakes CT # 304
Fairfax, VA 22033-3805

Mailing address

3638 Buckeye CT
Fairfax, VA 22033-1254
Phone (917) 615-3518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241219000787 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961937008 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

4401 Fair Lakes Ct
Ste 304
Fairfax, VA 22033
Phone (971) 615-3518

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1740009703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 BUCKEYE CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331254",
            "telephone_number": "917-615-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FAIR LAKES CT # 304",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333805",
            "telephone_number": "917-615-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT HEALTH PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "ALAHMAD",
        "authorized_official_first_name": "ABDULRAHMAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-615-3518",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.