Mojahed Ahmed Al-Ganim, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014232 Issued in GA

Practice address

4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800

Phone

(678) 985-0238

Fax

(678) 985-0136

NPI assigned

Sep 3, 2019

Last updated

Mar 5, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physio at Hammonds Centre LLC

  dba Physio

  • Rehabilitation Clinic/Center
  • Macon, GA
  • NPI 1629455159

  Physical Therapist

  NPD
• The Hammonds Centre for Orthopaedic and Sports Physical Therapy, LLC

  • Physical Therapist
  • Macon, GA
  • NPI 1609107614
  NPD (past)

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1639727688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 SUGARLOAF PKWY STE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448800",
            "telephone_number": "678-985-0238",
            "fax_number": "678-985-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4523 Forsyth Rd",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312104527",
            "country_code": "US",
            "telephone_number": "478-254-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-GANIM",
        "first_name": "MOJAHED",
        "middle_name": "AHMED",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Ajhar, MD
• Akc Healthcare, Incorporated
• Fariha Akthar
• Hatem Al Kassem, M.D.
• Rasha Al Samara, MD
• Maribel Alamo, FNP
• Mary Jo Albert, M.D.
• Vivian Albert
• Anihya Alderman
• Dale Harrison Alderman, DPT

• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.