Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omeed Azzat Basiri

Individual provider Physical Therapist · NPI 1801491386

Omeed Azzat Basiri is a Physical Therapist in Private Practice in Winchester, Virginia. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

640 Pemberton Dr Apt 5
Winchester, VA 22601-6334
Phone: (317) 893-6108
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305212638 (VA)

Record details

NPI number1801491386
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 2, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020
Mailing address640 Pemberton Dr Apt 5, Winchester, VA 22601-6334

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Winchester