NPIMap

Organization Active NPI

Dynamic Mobile Rehab LLC

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1356086961
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIC MOBILE REHAB LLC
Practice address
13420 Parker Commons Blvd Ste 106
Fort Myers, FL 33912-1973
Phone
(239) 361-2890
Fax
(239) 361-2780
NPI assigned
Apr 28, 2022
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Mekaael Mahmoud, OTRNPI 1568046415
Title
Ceo
Phone
(401) 256-9997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Home Health Agency 251E00000X NU

Addresses

Primary practice location

13420 Parker Commons Blvd Ste 106
Fort Myers, FL 33912-1973

Mailing address

21208 Waymouth Run
Estero, FL 33928-3243
Phone (239) 361-2890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220707000128 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749660801 Receives reassigned benefits from 21 practitioners
Practice locations: Estero, FL
O20240321002117 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749660801 Practice locations: Boston, MA
O20240520000610 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749660801 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

21750 Hardy Oak Blvd
Ste 104
San Antonio, TX 78258
Phone (210) 201-6334

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1356086961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21208 WAYMOUTH RUN",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283243",
            "telephone_number": "239-361-2890",
            "fax_number": "239-361-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 PARKER COMMONS BLVD STE 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121973",
            "telephone_number": "239-361-2890",
            "fax_number": "239-361-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MOBILE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "MEKAAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-256-9997",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.