Mekaael Mahmoud

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

23114 Issued in FL

Practice address

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

Phone

(239) 361-2890

Fax

(239) 361-2780

NPI assigned

May 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, TX2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dynamic Mobile Rehab LLCGroup PAC ID 0749660801, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Dynamic Mobile Rehab LLC

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1356086961

  TX

  Medicare reassignment Care Compare group Authorized official
• Southwest Florida Mobile Wound Care LLC

  • Family Nurse Practitioner
  • Estero, FL
  • NPI 1487336863
  Medicare reassignment Authorized official
• Delmarva Mobile Wound Solutions LLC

  • Family Nurse Practitioner
  • Hebron, MD
  • NPI 1922894260
  NPD
• Tallahassee Mobile Wound Care LLC

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1396563037
  NPD (past)

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1568046415",
    "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": [
        {
            "address_1": "27 Crossway Rd",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029105222",
            "country_code": "US",
            "telephone_number": "401-256-9997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Crossway Rd",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029105222",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "MEKAAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "23114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "meka@dynamicmobilerehab.com",
            "affiliation": "N",
            "endpointDescription": "secure google workspace (end to end encryption)",
            "address_1": "21208 Waymouth Run",
            "city": "Estero",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339283243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Ellen Mahan, ARNP
• Paula B Mahan, P.A.
• Eugene D Mahaney, MD
• Michelle Mahaney, ARNP
• Timothy J. Mahaney, APRN
• Christen Francine Mahoney, D.O.
• Denyse M Mahoney, PA
• Shannon Mahoney, PA-C
• Suzanne Mahoney
• Deborah Maichle, ARNP

• Occupational Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.