Active NPI
Nisah Mohammed, PT, DPT
- Physical Therapist
- Decatur, GA
National Provider Identifier
1205119864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010457
- Practice address
- 2701 N Decatur Rd
Rehab Department, Ground Floor
Decatur, GA 30033-5918 - Phone
- (404) 501-5141
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PT010457 | GA | Primary |
Addresses
Primary practice location
2701 N Decatur Rd
Rehab Department, Ground Floor
Decatur, GA 30033-5918
Mailing address
2701 N Decatur Rd
Rehab Department, Ground Floor
Decatur, GA 30033-5918
Phone (404) 501-5141
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010457 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1205119864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"address_2": "REHAB DEPARTMENT, GROUND FLOOR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918",
"telephone_number": "404-501-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"address_2": "REHAB DEPARTMENT, GROUND FLOOR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918",
"telephone_number": "404-501-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMED",
"first_name": "NISAH",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.