Hisham Radwan

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2305205237 Issued in VA

Practice address

3783 Mary Evelyn Way
Alexandria, VA 22309-8230

Phone

(202) 629-8573

Fax

(571) 481-4100

NPI assigned

Oct 23, 2012

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Tristate Quality Care Corp

  • Home Health Agency
  • Alexandria, VA
  • NPI 1174886980
  NPD Authorized official

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1861745143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 MARY EVELYN WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223098230",
            "telephone_number": "202-629-8573",
            "fax_number": "571-481-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 MARY EVELYN WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223098230",
            "telephone_number": "202-629-8573",
            "fax_number": "571-481-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADWAN",
        "first_name": "HISHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "VA",
            "license": "2305205237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Rabel, FNP-BC
• Rachel Moon Speech Therapy, LLC (Remedy Speech Therapy)
• Rachel Moon Speech Therapy, LLC (Remedy Speech Therapy)
• Brent Rademacher
• Margaret Radloff
• Melissa Radzio, CRNA
• Rae Counseling LLC
• Elizabeth Rae, LPC
• Madeline Rafaelano Rivas, DPT
• Zohra Rafiq

• Geriatric Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Geriatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.