Mohamed S Mansour, PT, MS, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT870480 Issued in DC

Practice address

13500 Gambrel CT
Laurel, MD 20708-1389

Phone

(301) 617-2773

Fax

(240) 334-4824

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Melwood Rehabilitation Center Inc

  • Physical Therapist
  • Upper Marlboro, MD
  • NPI 1588737571

  DC

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1205919644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 GAMBREL CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081389",
            "telephone_number": "301-617-2773",
            "fax_number": "240-334-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 GAMBREL CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081389",
            "telephone_number": "301-617-2773",
            "fax_number": "240-334-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "MOHAMED",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT, MS, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23820",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcie Care, LLC
• John Neil Margolis, MD

• Physical Therapist in Laurel, MD
• Providers in Laurel, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.

Verify at the official NPI Registry.