Individual provider Active NPI

Umu-Kulthum Al-Maawy, D.O

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
National Provider Identifier
1619310661
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
Q9105 Issued in TX
Practice address
2800 W 15TH St
Plano, TX 75075-7526
Phone
(972) 612-9000
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Q9105 TX Primary

Addresses

Primary practice location

2800 W 15TH St
Plano, TX 75075-7526

Mailing address

PO Box 4049
Wichita Falls, TX 76308-0049

Other practice location 1

1231 Mahard Pkwy
Prosper, TX 75078-5710
Phone (945) 207-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161114000677 TX Practitioner - Physical Medicine and Rehabilitation 7517246622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texoma Rehab PLLCGroup PAC ID 0042599151, 2 clinicians

Practice addresses (Care Compare)

2800 W 15TH St
Plano, TX 75075-7526
Phone (972) 612-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q9105TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Rehab PLLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2016 Accepting new patients
Encompass Health Rehabilitation Hospital of Plano, LLC Past Accepting new patients
Texoma Rehab PLLC Past Accepting new patients

Locations

2800 W 15th St
Plano, TX 75075
Phone (972) 238-7339

1231 Mahard Pkwy
Prosper, TX 75078
Phone (945) 207-6500

3901 Armory Rd
Wichita Falls, TX 76302
Phone (940) 397-5431

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1619310661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4049",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763080049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757526",
            "telephone_number": "972-612-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 Mahard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750785710",
            "country_code": "US",
            "telephone_number": "945-207-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-MAAWY",
        "first_name": "UMU-KULTHUM",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q9105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.