NPIMap

Organization Active NPI

Rehabilitation & Physical Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Irving, TX
National Provider Identifier
1437470358
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L4429 Issued in TX
Legal business name
REHABILITATION & PHYSICAL MEDICINE LLC
Practice address
611 N Macarthur Blvd Ste 110
Irving, TX 75061-7467
Phone
(972) 253-9355
NPI assigned
Jun 15, 2010
Last updated
Mar 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Mohamed Hassan Anwar Youssef, MDNPI 1033446687
Title
Owner
Phone
(469) 230-6226

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X L4429 TX Primary

Addresses

Primary practice location

611 N Macarthur Blvd Ste 110
Irving, TX 75061-7467

Mailing address

819 W Arapaho Road Suite 24B PMB 131
PMB 131
Richardson, TX 75080
Phone (469) 230-6226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000591 TX Part B Supplier - Clinic/Group Practice 6800078759 Receives reassigned benefits from 37 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3740 N Josey Ln
Ste 232
Carrollton, TX 75007
Phone (972) 492-8180

819 W Arapaho Rd
Ste 24B
Richardson, TX 75080
Phone (469) 773-0710

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1437470358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W ARAPAHO ROAD SUITE 24B PMB 131",
            "address_2": "PMB 131",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75080",
            "telephone_number": "469-230-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MACARTHUR BLVD STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617467",
            "telephone_number": "972-253-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION & PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "HASSAN ANWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-230-6226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.