Individual provider Active NPI

Sameh Morcos Nasr, MS PT

  • Physical Therapist
  • Visalia, CA
National Provider Identifier
1851651293
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40211 Issued in CA
Practice address
432 S Church St
St Mary Physical Therapy
Visalia, CA 93277
Phone
(516) 406-4898
NPI assigned
May 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40211 CA Primary
Physical Therapist 225100000X 1229050 TX
Physical Therapist 225100000X 027788 NY

Addresses

Primary practice location

432 S Church St
St Mary Physical Therapy
Visalia, CA 93277

Mailing address

4014 W Monte Vista Ave
Visalia, CA 93277-7001
Phone (516) 406-4898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141018000072 CA Practitioner - Physical Therapist in Private Practice 4284854829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1524 W Mineral King Ave
Visalia, CA 93291-5819
Phone (559) 372-8414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40211CAMDPharmacist
1229050TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Physical Therapy Inc Physical Therapist CurrentSince Aug 1, 2014 Accepting new patients
Saint Mary Physical Therapy P.C. Physical Therapist PastSince Aug 1, 2014 Accepting new patients

Locations

432 S Church St
Visalia, CA 93277
Phone (516) 406-4898

1524 W Mineral King Ave
Visalia, CA 93291
Phone (559) 372-8414

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1851651293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 W MONTE VISTA AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777001",
            "telephone_number": "516-406-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S CHURCH ST",
            "address_2": "ST MARY PHYSICAL THERAPY",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "516-406-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASR",
        "first_name": "SAMEH",
        "middle_name": "MORCOS",
        "name_prefix": "Mr.",
        "credential": "MS PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40211",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1229050",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.