Active NPI
Ahmed Mohamed, R.P.T, MS
- Physical Therapist
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-009262
- Practice address
- 6060 W 95TH St
Oak Lawn, IL 60453-2778 - Phone
- (708) 952-1052
- Fax
- (708) 952-1053
- NPI assigned
- Aug 5, 2006
- Last updated
- Aug 13, 2021
- 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 | 070-009262 | IL | Primary |
Addresses
Primary practice location
6060 W 95TH St
Oak Lawn, IL 60453-2778
Mailing address
10448 S Pulaski Rd
Suite 4&5
Oak Lawn, IL 60453-4895
Phone (708) 952-1052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-009262 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Home Health Care, Inc. | Current | Accepting new patients | |
| Residential Clinical Services, Inc. | Current | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Faith Home Health Care, Inc. | Home health agency | 5% Or Greater Indirect Ownership Interest (25%) Corporate Director (25%) Operational/Managerial Control (25%) |
Oct 25, 2020 Oct 25, 2020 Oct 25, 2020 |
| Residential Clinical Services, Inc. | Home health agency | 5% Or Greater Direct Ownership Interest (25%) Corporate Officer (25%) W-2 Managing Employee (100%) |
Aug 31, 2014 Aug 31, 2014 Aug 31, 2014 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Chicago, IL
- NPI 1225210495
5% Or Greater Indirect Ownership Interest, Corporate Director, Operational/Managerial Control
-
- Home Health Agency
- Merrillville, IN
- NPI 1376549410
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1881843290
-
- Home Health Agency
- Chicago, IL
- NPI 1225210495
-
- Home Health Agency
- Merrillville, IN
- NPI 1376549410
-
- Home Health Agency
- Oak Lawn, IL
- NPI 1093741415
-
- Specialist
- Oak Lawn, IL
- NPI 1477508307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1801805148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10448 S PULASKI RD",
"address_2": "SUITE 4&5",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534895",
"telephone_number": "708-952-1052",
"fax_number": "708-952-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6060 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532778",
"telephone_number": "708-952-1052",
"fax_number": "708-952-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "AHMED",
"credential": "R.P.T, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-009262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.