Active NPI
Shaimaa Mahmoud Hassanein
- Pediatric Physical Therapist
- Plantation, FL
National Provider Identifier
1699446773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Practice address
- 6820 W Sunrise Blvd
Plantation, FL 33313-4570 - Phone
- (954) 743-1918
- Fax
- (954) 743-1915
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary |
Addresses
Primary practice location
6820 W Sunrise Blvd
Plantation, FL 33313-4570
Mailing address
4046 NW 10TH PL
Plantation, FL 33313-6709
Phone (415) 802-8241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H255793836210 | Medicaid | FL |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1699446773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4046 NW 10TH PL",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333136709",
"telephone_number": "415-802-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 W SUNRISE BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333134570",
"telephone_number": "954-743-1918",
"fax_number": "954-743-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSANEIN",
"first_name": "SHAIMAA",
"middle_name": "MAHMOUD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H255793836210",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.