Esraa M Mousa

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6558 Greenfield Rd
Dearborn, MI 48126-1701

Phone

(313) 581-1155

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trusted Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Dearborn, MI
  • NPI 1194355008
  NPD Authorized official
• Select Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Dearborn, MI
  • NPI 1558833889
  Authorized official Same address or phone

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1568933406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481210804",
            "telephone_number": "313-715-7152",
            "fax_number": "313-581-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6558 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261701",
            "telephone_number": "313-581-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "ESRAA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTO",
            "identifier": "832720547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Moukdad, PHARMD
• Shawn Jeffrey Moulder, D.O.
• Rabih Mounzer
• Yasmeen Mourad
• Sukaina Mourtada
• Kawthar Mousa
• Bisan Moussa
• Ghadir A Moussa
• Mohamed Moussa, PMHNP-BC
• Mohamed Marouf Moussa, MD

• Physical Therapist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.