Adel S Hassan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204191 Issued in VA

Practice address

117 Casmar St SE
Vienna, VA 22180-6610

Phone

(703) 344-3382

Fax

(800) 928-5061

NPI assigned

Feb 27, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Immaculate Physical Therapy PC

  • Physical Therapist
  • Vienna, VA
  • NPI 1013234657
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1932236718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CASMAR ST SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806610",
            "telephone_number": "703-344-3382",
            "fax_number": "800-928-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CASMAR ST SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806610",
            "telephone_number": "703-344-3382",
            "fax_number": "800-928-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "ADEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly S Harrell, M.ED., LPC
• Harris Teeter LLC
• Lauren Diggs Harris, AGPCNP-BC
• Lois Greenberg Hartman, LCPC
• Scarlett Harvey
• Jeanne Marie Hatch, D.C.
• Rachel Hawkins, OTR/L
• Andrew Lee Hays, LCSW
• Alvin He
• Catherine Rose Head, CF-SLP

• Physical Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.