Active NPI
Mohammed Jamali, PT
- Physical Therapist
- Pawtucket, RI
National Provider Identifier
1629254438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16162
- Practice address
- 588 Pawtucket Ave
Pawtucket, RI 02860-6057 - Phone
- (401) 722-2400
- Fax
- (401) 728-3920
- NPI assigned
- Jan 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16162 | MA | Primary |
Addresses
Primary practice location
588 Pawtucket Ave
Pawtucket, RI 02860-6057
Mailing address
588 Pawtucket Ave
Pawtucket, RI 02860-6057
Phone (401) 722-2400
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescription Orthopedic and Sports Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Brookline, MA
- NPI 1588641807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1629254438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 PAWTUCKET AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606057",
"telephone_number": "401-722-2400",
"fax_number": "401-728-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 PAWTUCKET AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606057",
"telephone_number": "401-722-2400",
"fax_number": "401-728-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMALI",
"first_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-11",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.