Active NPI
Mohy M Osman, P.T
- Physical Therapist
- Hazel Crest, IL
National Provider Identifier
1619060985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-007373
- Practice address
- 17577 Kedzie Ave
Ste 209
Hazel Crest, IL 60429-2053 - Phone
- (708) 781-9385
- Fax
- (708) 570-2936
- NPI assigned
- Oct 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-007373 | IL | Primary |
| Acupuncturist | 171100000X | 198.000441 | IL | |
| Naturopath | 175F00000X | IL |
Addresses
Primary practice location
17577 Kedzie Ave
Ste 209
Hazel Crest, IL 60429-2053
Mailing address
8501 Rob Roy Dr
Orland Park, IL 60462-5957
Phone (708) 261-3803
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 |
|---|---|---|---|
| 198.000441 | IL | MD | Acupuncturist |
| 070-007373 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Reach Foundation | Past | Accepting new patients | |
| A & D Medical Center SC | Past | Accepting new patients | |
| Optimal Potential, Inc. | Physical Therapist | Past | Accepting new patients |
| Midcity Rehabilitation Services,LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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
- Orland Park, IL
- NPI 1174746937
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1316037120
-
- Family Medicine Physician
- Chicago, IL
- NPI 1497747026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1619060985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8501 ROB ROY DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604625957",
"telephone_number": "708-261-3803",
"fax_number": "708-570-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17577 KEDZIE AVE",
"address_2": "STE 209",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292053",
"telephone_number": "708-781-9385",
"fax_number": "708-570-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMAN",
"first_name": "MOHY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-01",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-007373",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.000441",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.