NPI Code Detail JSON Logo

1366004699 NPI number — MOHAMED ALY EL-MEGHALLAWY PT

NPI Number: 1366004699
Health Care Provider/Practitioner: MOHAMED ALY EL-MEGHALLAWY PT

Information about “1366004699” NPI (MOHAMED ALY EL-MEGHALLAWY PT) exists in 1366004699 in HTML format HTML  |  1366004699 in plain Text format TXT  |  1366004699 in PDF (Portable Document Format) PDF  |  1366004699 in an XML format XML  formats.

NPI Number : 1366004699 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366004699",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EL-MEGHALLAWY",
    "FirstName": "MOHAMED",
    "MiddleName": "ALY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7120 W 108TH ST UNIT 1B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WORTH",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60482-1666",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-369-7956",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6060 W 95TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK LAWN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60453-2778",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-952-1052",
    "PracticeLocationAddressFaxNumber": "708-952-1053",
    "EnumerationDate": "07/08/2019",
    "LastUpdateDate": "01/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "070024157",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.