Rawda Samir Mahmoud, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045911 Issued in NY

Practice address

3-15 Plaza Rd
Fair Lawn, NJ 07410-3844

Phone

(917) 815-9484

NPI assigned

Jan 16, 2022

Sex

Female

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

Practice roles

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.

• KR Rehab Incorporated

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1215686118
  NPD
• Pro Mobility Incorporated

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1225773690
  NPD

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1275284770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-15 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103844",
            "telephone_number": "917-607-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-15 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103844",
            "telephone_number": "917-815-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "RAWDA",
        "middle_name": "SAMIR",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Fishelson Mahan, LCSW
• Thor Lawler Mahan, LPC
• Douglas R. Mahler, DMD
• Senya Jakob Mahler, PH.D.
• Hania Mahmood, OD
• Jenna Mainero
• Emily Maksoud
• Jonathan Maldonado, LMT, MMP
• Steven Zachary Malen, PHARMD
• Elvira Maler, ED.D, LCSW

• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; 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.