Individual provider Active NPI

Baabak Mostoufi, PT, DPT, CSCS

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1245834837
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014796 Issued in GA
Practice address
487 Winn Way
Decatur, GA 30030-1735
Phone
(404) 251-2007
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014796 GA Primary

Addresses

Primary practice location

487 Winn Way
Decatur, GA 30030-1735

Mailing address

487 Winn Way
Decatur, GA 30030-1735
Phone (404) 251-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216002225 GA Practitioner - Physical Therapist in Private Practice 6901218924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians

Practice addresses (Care Compare)

1459 Montreal Rd
Suite 304
Tucker, GA 30084-6920
Phone (404) 251-3420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC Current Accepting new patients
Emory Physical Therapy, LLC CurrentSince Nov 30, 2020 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Nov 30, 2020 Accepting new patients

Locations

487 Winn Way
Decatur, GA 30030
Phone (404) 251-2007

1845 Satellite Blvd
Ste 600
Duluth, GA 30097
Phone (404) 778-6490

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

1459 Montreal Rd
Tucker, GA 30084
Phone (404) 251-3420

1459 Montreal Rd
Ste 304
Tucker, GA 30084
Phone (404) 251-3420

8259 Wicker Ave
Saint John, IN 46373
Phone (219) 365-6560

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.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1245834837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301735",
            "telephone_number": "404-251-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301735",
            "telephone_number": "404-251-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOUFI",
        "first_name": "BAABAK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014796",
            "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 Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.