Ahmed Moustafa Sharaf, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13366 Issued in CT

Practice address

50 East St N
Suffield, CT 06078-2400

Phone

(860) 726-8163

NPI assigned

Apr 30, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Panacea Physical Therapy LLC

  • Physical Therapist
  • Suffield, CT
  • NPI 1063155760
  NPD Authorized official
• Panacea Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Enfield, CT
  • NPI 1851177265
  NPD Authorized official

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1962147306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EAST ST N",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782400",
            "telephone_number": "860-726-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EAST ST N",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782400",
            "telephone_number": "860-726-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAF",
        "first_name": "AHMED",
        "middle_name": "MOUSTAFA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NOSH",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 East St N",
            "city": "Suffield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060782400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Rolo
• Ronald D. Kirschbaum DMD
• Mackenzy Ryan, OTR/L
• Marisa Savluk, LCSW
• Aneela Shah
• Cheryl A Shepherd, LPC
• Olga Sinnema, DPT
• Sleep Management Solutions LLC
• James Alexander Smith
• Kathryn Naomi Smith

• Physical Therapist in Suffield, CT
• Providers in Suffield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.