Mamta Mahajan, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0008789 Issued in FL

Practice address

14601 Hope Center Loop
Fort Myers, FL 33912-4707

Phone

(239) 334-7000

Fax

(239) 334-7070

NPI assigned

Nov 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Specialists of SW Florida, P.a.Group PAC ID 2668442799, 47 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.2 of 100Reported as group

Promoting interoperability

92

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://osswf.mmi.prod.fhir.ema-api.com/fhir/r4

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.

• Orthopedic Specialists of SW Florida, P.a.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1720187495
  Medicare reassignment Care Compare group NPD
• Mainstream Physical Therapy LLC

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1134292253
  NPD (past)
• Orthopedic Specialists of SW Florida, P.a.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1770410433

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1841361912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124707",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124707",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "MAMTA",
        "name_prefix": "Mrs.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0008789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00873760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josiah David Magnusson
• Stephen L. Magruder, M.S.W.
• Kathleen Maguire
• Anand Raj Mahadevan, MD
• Kamal Mahajan
• Kathleen Ellen Mahan, ARNP
• Paula B Mahan, P.A.
• Eugene D Mahaney, MD
• Michelle Mahaney, ARNP
• Timothy J. Mahaney, APRN

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.