Mohamed Hassan, MHS,PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070007675 Issued in IL

Practice address

3900 W 95TH St
Suite 1
Evergreen Park, IL 60805

Phone

(708) 423-7900

Fax

(708) 423-7999

NPI assigned

Oct 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1174511679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 VILLAGE CENTER DR",
            "address_2": "STE 205",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274526",
            "telephone_number": "630-920-4670",
            "fax_number": "630-920-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 95TH ST",
            "address_2": "SUITE 1",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-423-7900",
            "fax_number": "708-423-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MOHAMED",
        "name_prefix": "Mr.",
        "credential": "MHS,PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayla A Harrison
• Harshad M. Mehta MD SC
• Daniel F Haskins, DDS
• Ahmed Hassan, MS,PT
• Bilaal M Hassan, FNP-BC
• Hayat Home Medical Equipment
• Cynthia M Hayes, APN
• Health and Renewal Internal Medicine SC
• Health Is Wealth Wellness Center Inc
• Health Solutions at Home Inc

• Physical Therapist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.