Muhammad Jasim, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017268 Issued in PA

Practice address

623 W Union Blvd Ste 1B
Bethlehem, PA 18018-3708

Phone

(610) 570-4307

NPI assigned

May 18, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Revive Rehab Services LLC

  • Physical Therapy Clinic/Center
  • Bethlehem, PA
  • NPI 1922353143
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1902199219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 YORKSHIRE DR",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311544",
            "telephone_number": "610-570-4307",
            "fax_number": "484-891-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W UNION BLVD STE 1B",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183708",
            "telephone_number": "610-570-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASIM",
        "first_name": "MUHAMMAD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2021-02-02",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027862200",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Janotka, LPC
• Aashika Sunil Janwadkar, MD
• Kimberly Anne Jaramillo, DO
• Kayla Jardine
• Christina D Jarrell, PA-C
• Jason Savenelli Counseling
• Imran Javed
• Roussel Javier, LPC
• Aaron Jordon Jaworek, MD
• Allison Catharine Jean Jaworowski, PHARMD.

• Physical Therapist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.