Mohammad Monir Hossain, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

CPO38462A Issued in GA

Practice address

1298 Interstate Pkwy
Augusta, GA 30909-6480

Phone

(706) 868-1707

NPI assigned

Dec 4, 2024

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1225844368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 SUNRIDGE CIR APT 1226",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204750",
            "telephone_number": "203-360-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096480",
            "telephone_number": "706-868-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "MOHAMMAD",
        "middle_name": "MONIR",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "CPO38462A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice Care of Georgia, LLC (Agape Care Group)
• Hospice Care of Georgia, LLC (Palliative Care of Georgia)
• Hospice Services of Ga, LLC
• Hospital Medicine Consulting, LLC
• Sarah Christina Hossack, DO
• Hossam E Fadel, MD, PC
• Chistopher Peter Houk, MD
• Patrick Houlihan, DO
• Amy S. House, PHD
• Fredrick C House, MD PC

• Physical Therapy Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.