Omeed Azzat Basiri

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305212638 Issued in VA

Practice address

640 Pemberton Dr Apt 5
Winchester, VA 22601-6334

Phone

(317) 893-6108

NPI assigned

Dec 2, 2020

Last updated

Dec 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1801491386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 PEMBERTON DR APT 5",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016334",
            "telephone_number": "317-893-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 PEMBERTON DR APT 5",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016334",
            "telephone_number": "317-893-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIRI",
        "first_name": "OMEED",
        "middle_name": "AZZAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Barr, OTD, OTR/L
• Nathan A Barr, DPT
• Heather V. Barrett, LM, CPM
• Ashley Barry
• Virginia Wheeler Basher, PSY.D.
• Givi Basishvili, MD
• Richard B Batchelet, DO
• Carissa Battle, LCSW
• Steven James Bauer, MD
• Deborah Nylen Bauserman, ED.D

• Physical Therapist in Winchester, VA
• Providers in Winchester, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.