Mohammed Ata

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38543 Issued in FL

Practice address

10550 Deerwood Park Blvd Ste 609a
Jacksonville, FL 32256-2811

Phone

(904) 513-3954

Fax

(904) 212-0223

NPI assigned

Jun 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1053971119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11949 CANTERWOOD DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469368",
            "telephone_number": "917-379-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 DEERWOOD PARK BLVD STE 609A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562811",
            "telephone_number": "904-513-3954",
            "fax_number": "904-212-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATA",
        "first_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38543",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Astrella, APRN
• Abraham Aber Asturia, DMD
• At Home Palliative Care, LLC
• At Home Respiratory, Inc.
• At Home Wound Care and Skilled Services LLC
• Marc G Ataiza
• Mark Atallah
• Katerina Nikolaeva Atanasova, CCC-SLP
• Garlene L. Atcherson, R.PH.
• James W. Atchison, DO

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.