Active NPI
Iqra Chhotani Imam, PT, DPT, MS
- Physical Therapist
- Cary, NC
National Provider Identifier
1740841089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P17753
- Practice address
- 10820 Penny Rd
Cary, NC 27518-1916 - Phone
- (919) 303-7068
- NPI assigned
- Jun 27, 2019
- Last updated
- Jun 27, 2019
- Sex
- Female
- 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 | P17753 | NC | Primary |
Addresses
Primary practice location
10820 Penny Rd
Cary, NC 27518-1916
Mailing address
349 Canterwood Dr
Apex, NC 27539-7806
Phone (336) 264-7369
Other practice location 1
4000 Glenaire Cir
Cary, NC 27511-3884
Phone (919) 460-8095
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17753 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1740841089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 CANTERWOOD DR",
"city": "APEX",
"state": "NC",
"postal_code": "275397806",
"telephone_number": "336-264-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10820 PENNY RD",
"city": "CARY",
"state": "NC",
"postal_code": "275181916",
"telephone_number": "919-303-7068"
}
],
"practiceLocations": [
{
"address_1": "4000 Glenaire Cir",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275113884",
"country_code": "US",
"telephone_number": "919-460-8095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMAM",
"first_name": "IQRA",
"middle_name": "CHHOTANI",
"credential": "PT, DPT, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
- Reenad Ibrahim
- Noora Idris
- Samalia Kou Idris
- Jeffrey Allan Iglhaut, D.D.S., M.S.
- Illuminate Cultural Nutrition and Wellness LLC (CNR Nutrition)
- Nicole Louise Imbraguglio, PSY.D.
- Kathleen E Immler, FNP
- Inadvance Medicine Associates PA (Passport Health)
- Yasmine Inaya, AUD
- Independent Hematology and Oncology Associates, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.