Mohammad Marwan Abuhmud, DPT
Individual provider Active NPI Physical Therapist · Germantown, TN
NPI 1225708183 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1225708183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13653 (TN)
- Practice address
- 2100 Exeter Rd Ste 200
Germantown, TN 38138-3966 - Phone
- (901) 522-6440
- Fax
- (901) 757-2507
- NPI assigned
- Sep 14, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Network Inc
Practice addresses (Care Compare)
1071 Inman Ave
Unit 4
Edison, NJ 08820-1132
Phone (732) 518-8868
454 Passaic St
Hackensack, NJ 07601-1519
Phone (201) 488-7905
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260312001217 | NJ | Practitioner - Physical Therapist in Private Practice | 7416354212 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13653 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network, Inc. | Physical Therapist | Current |
Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current |
Accepting new patients |
| MSK Group PC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13653 | TN | Yes |
Addresses
Primary practice location
2100 Exeter Rd Ste 200
Germantown, TN 38138-3966
Mailing address
2100 Exeter Rd Ste 200
Germantown, TN 38138-3966
Phone (901) 522-6440
Other providers in Germantown, TN
- George Abell
- Natalie Wilson Abell
- Lauren Abernathy
- Aprille M Abston-Turns
- Debra E Abston
- Achieving Independence Occupational Therapy
- Colin Ackerman
- Active Health Chiropractic LLC
- Gary Joseph Adams III
- Jacquelyn Adams
All providers in Germantown, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.