Individual provider Active NPI

Mohammed Mahmoud, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1134856495
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-026971 Issued in IL
Practice address
6255 S Archer Ave
Chicago, IL 60638-2609
Phone
(773) 284-6735
Fax
(773) 284-6820
NPI assigned
Aug 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-026971 IL Primary

Addresses

Primary practice location

6255 S Archer Ave
Chicago, IL 60638-2609

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025000786 IL Practitioner - Physical Therapist in Private Practice 9638545189 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians
Reinvent Health Inc.Group PAC ID 2264964477, 38 clinicians

Practice addresses (Care Compare)

Naperville, IL 60563
Phone (866) 525-3175

Chicago, IL 60622
Phone (405) 821-6648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-026971ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reinvent Health Inc Physical Therapist CurrentSince Apr 28, 2025 Accepting new patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Aug 13, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 28, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 28, 2022 Accepting new patients

Locations

6255 S Archer Ave
Chicago, IL 60638
Phone (773) 284-6735

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 250-4576

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

Interoperability endpoints

  • Direct secure messaging: mohammad.mahmoud.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 5

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1134856495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382609",
            "telephone_number": "773-284-6735",
            "fax_number": "773-284-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "MOHAMMED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-026971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.