Philip David Assaf Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12469 Issued in CA

Practice address

1440 168TH Ave
Department of Rehabilitation Services
San Leandro, CA 94578

Phone

(510) 481-6326

Fax

(510) 481-6327

NPI assigned

Jan 9, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922157122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 168TH AVE",
            "address_2": "DEPARTMENT OF REHABILITATION",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782409",
            "telephone_number": "510-481-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 168TH AVE",
            "address_2": "DEPARTMENT OF REHABILITATION SERVICES",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94578",
            "telephone_number": "510-481-6326",
            "fax_number": "510-481-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSAF",
        "first_name": "PHILIP",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asian Health Services
• Asian Health Services
• Asian Health Services
• Marcell Aslami
• Joann Mercado Aspiras
• Rosemary Atchity
• Jeremy Daniel Atkins, PSYD
• Hany Attia, D.D.S.
• Brian Au, PHARM D
• Diana Au, SLPA

• Physical Therapist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.