Ali Mousavi, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011164 Issued in PA

Practice address

1000 S. Easton Rd
Suite 210
Wyncote, PA 19095

Phone

(610) 532-0657

Fax

(610) 532-4258

NPI assigned

Jul 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Cheltenham Pain Management

  • Chiropractor
  • Wyncote, PA
  • NPI 1417626664
  NPD
• Advanced Spine and Pain, LLC

  • Pain Medicine Physician
  • Egg Harbor Township, NJ
  • NPI 1447885116
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1619329265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S. EASTON RD",
            "address_2": "SUITE 210",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "19095",
            "telephone_number": "610-532-0657",
            "fax_number": "610-532-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S. EASTON RD",
            "address_2": "SUITE 210",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "19095",
            "telephone_number": "610-532-0657",
            "fax_number": "610-532-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSAVI",
        "first_name": "ALI",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nashwa Mohamed, RPH
• Amanda Marie Montgomery, COTA/L
• Saikia Moore, MS
• Yolanda Morris, ED.D
• Benjamin Glatter Moss, ATC
• Vincent Gregory Naughton, OTR/L
• Ruth Nelson
• Cam-Huyen Thi Nguyen, PHARM D.
• Delaney Grace Nichols, MS, CF-SLP
• Jee Hyun No

• Chiropractor in Wyncote, PA
• Providers in Wyncote, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.