Active NPI
Fatima Hamouda
- Physical Therapist
- Chicago, IL
National Provider Identifier
1457964314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.025283
- Practice address
- 5454 S Shore Dr Apt 508
Chicago, IL 60615-5968 - Phone
- (954) 804-4226
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.025283 | IL | Primary |
Addresses
Primary practice location
5454 S Shore Dr Apt 508
Chicago, IL 60615-5968
Mailing address
5454 S Shore Dr Apt 508
Chicago, IL 60615-5968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.025283 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobe Innovative Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Strength and Balance Institute | Physical Therapist | Past | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
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.
-
- Physical Therapist
- Miami, FL
- NPI 1164800595
-
- Physical Therapist
- Aventura, FL
- NPI 1164077947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1457964314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 S SHORE DR APT 508",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606155968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 S SHORE DR APT 508",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606155968",
"telephone_number": "954-804-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMOUDA",
"first_name": "FATIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.025283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.