Individual provider Active NPI

Thomas Alfred Mousa, DPT, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1245936848
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39878 Issued in FL
Practice address
4012 Sawyer Rd Ste 106
Sarasota, FL 34233-1231
Phone
(941) 706-4964
Fax
(941) 375-0099
NPI assigned
Feb 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 PT39878 FL Primary

Addresses

Primary practice location

4012 Sawyer Rd Ste 106
Sarasota, FL 34233-1231

Mailing address

6800 Shetland Way
Sarasota, FL 34241-9505
Phone (941) 726-3645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517002565 FL Practitioner - Physical Medicine and Rehabilitation 5395101307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Tufts University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abe Rehabilitation Services PAGroup PAC ID 4981731585, 2 clinicians

Practice addresses (Care Compare)

4012 Sawyer Rd
Suite 106
Sarasota, FL 34233-1231
Phone (941) 706-4964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39878FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abe Rehabilitation Services PA Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Etairos Health, Inc PastSince Feb 12, 2023 Accepting new patients

Locations

4012 Sawyer Rd
Ste 106
Sarasota, FL 34233
Phone (941) 343-4416

Organizations & group practices 2

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1245936848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SHETLAND WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342419505",
            "telephone_number": "941-726-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 SAWYER RD STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331231",
            "telephone_number": "941-706-4964",
            "fax_number": "941-375-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "THOMAS",
        "middle_name": "ALFRED",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.