Active NPI
Munifa Mohibi, LPT
- Physical Therapist
- Saginaw, MI
National Provider Identifier
1194063339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005402
- Practice address
- 2575 McLeod Dr N
Suite B
Saginaw, MI 48604-2857 - Phone
- (989) 921-1132
- Fax
- (989) 921-1134
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5501005402 | MI | |
| Physical Therapist | 225100000X | 5501005402 | MI | Primary |
Addresses
Primary practice location
2575 McLeod Dr N
Suite B
Saginaw, MI 48604-2857
Mailing address
2575 McLeod Dr N
Suite B
Saginaw, MI 48604-2857
Phone (989) 921-1132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699829119 | Medicaid | MI |
Other names 1
- Munifa Attarwalatt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501005402 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Bay Health Centers | Current | Accepting new patients | |
| Great Lakes Bay Health Centers | Current | Accepting new patients | |
| Functional Rehab Services PC | Current | Accepting new patients |
Locations
501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000
2575 McLeod Dr N
Ste B
Saginaw, MI 48604
Phone (989) 921-1132
501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000
Interoperability endpoints
- munifa.mohibi.1@27771.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1871684761
-
- Physical Disabilities Residential Treatment Facility
- Saginaw, MI
- NPI 1699829119
-
- Federally Qualified Health Center (FQHC)
- Midland, MI
- NPI 1609609536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1194063339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 MCLEOD DR N",
"address_2": "SUITE B",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042857",
"telephone_number": "989-921-1132",
"fax_number": "989-921-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 MCLEOD DR N",
"address_2": "SUITE B",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042857",
"telephone_number": "989-921-1132",
"fax_number": "989-921-1134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHIBI",
"first_name": "MUNIFA",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "5501005402",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699829119",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MUNIFA",
"last_name": "ATTARWALATT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.