Active NPI
Tahir Khan
- Physical Therapist
- Syracuse, NY
National Provider Identifier
1881360220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031305
- Practice address
- 5075 W Seneca Tpke
Syracuse, NY 13215-3216 - Phone
- (315) 449-6159
- NPI assigned
- Aug 17, 2021
- Sex
- Male
- 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 | 031305 | NY | Primary |
Addresses
Primary practice location
5075 W Seneca Tpke
Syracuse, NY 13215-3216
Mailing address
145 Brinan Fields Run
Manlius, NY 13104-8809
Phone (315) 897-7860
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1881360220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 BRINAN FIELDS RUN",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131048809",
"telephone_number": "315-897-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 W SENECA TPKE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132153216",
"telephone_number": "315-449-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "TAHIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.