Active NPI
Mohamed Hussein, P.T
- Physical Therapist
- Panama City, FL
National Provider Identifier
1184677262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8384
- Practice address
- 2316 W 23Rd St
Panama City, FL 32405-2373 - Phone
- (850) 522-4770
- Fax
- (850) 522-4760
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8384 | FL | Primary |
Addresses
Primary practice location
2316 W 23Rd St
Panama City, FL 32405-2373
Mailing address
2316 W 23Rd St
Panama City, FL 32405-2373
Phone (850) 522-4770
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202945722 | Other | FL | TRICARE |
| Q6A | Other | FL | BCBS OF FL |
| 5668714 | Other | FL | AETNA |
| 891217300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2316 W 23Rd St
Suite B
Panama City, FL 32405-2373
Phone (850) 522-4770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehab & Home Health LLC | Physical Therapist | Current | Accepting new patients |
Locations
2316 W 23rd St
Ste B
Panama City, FL 32405
Phone (850) 381-0468
2316 W 23rd St
Panama City, FL 32405
Phone (850) 522-4770
Organizations & group practices 1
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.
-
- Occupational Therapist
- Panama City, FL
- NPI 1003835026
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1184677262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 W 23RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324052373",
"telephone_number": "850-522-4770",
"fax_number": "850-522-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 W 23RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324052373",
"telephone_number": "850-522-4770",
"fax_number": "850-522-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEIN",
"first_name": "MOHAMED",
"name_prefix": "Mr.",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT8384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "202945722",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "Q6A",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5668714",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891217300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.