Individual provider Active NPI

Ahmad Azhar

  • Occupational Therapist
  • McKinney, TX
National Provider Identifier
1962896258
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121530 Issued in TX
Practice address
925 Blanco LN
McKinney, TX 75071-8659
Phone
(518) 445-5192
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 008436 NY
Occupational Therapist 225X00000X 121530 TX Primary

Addresses

Primary practice location

925 Blanco LN
McKinney, TX 75071-8659

Mailing address

925 Blanco LN
McKinney, TX 75071-8659
Phone (518) 445-5192

Other practice location 1

12 Regis Dr
Staten Island, NY 10314-1446
Phone (518) 445-5192

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
008436NYMDOccupational Therapy Assistant
121530TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Accomplished Inc Occupational Therapist CurrentSince Dec 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1962896258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BLANCO LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718659",
            "telephone_number": "518-445-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BLANCO LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718659",
            "telephone_number": "518-445-5192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Regis Dr",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103141446",
            "country_code": "US",
            "telephone_number": "518-445-5192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZHAR",
        "first_name": "AHMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008436",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.