Individual provider Active NPI

Shamathkhan Sheik Mohaideen

  • Physical Therapy Assistant
  • Frisco, TX
National Provider Identifier
1083416549
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2187598 Issued in TX
Practice address
1661 Pleasant Valley LN
Frisco, TX 75036-8225
Phone
(262) 309-4122
NPI assigned
Mar 26, 2025
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2187598 TX Primary
Massage Therapist 225700000X MT137456 TX

Addresses

Primary practice location

1661 Pleasant Valley LN
Frisco, TX 75036-8225

Mailing address

1661 Pleasant Valley LN
Frisco, TX 75036-8225
Phone (262) 309-4122

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2187598TXMDPhysical Therapy Assistant
MT137456TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1083416549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 PLEASANT VALLEY LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368225",
            "telephone_number": "262-309-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 PLEASANT VALLEY LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368225",
            "telephone_number": "262-309-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIK MOHAIDEEN",
        "first_name": "SHAMATHKHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2187598",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT137456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.