Individual provider Active NPI

Mohamed Sanad

  • Physical Therapist
  • Hinsdale, IL
National Provider Identifier
1841369584
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.007493 Issued in IL
Practice address
15 Spinning Wheel Rd.
Suite 24
Hinsdale, IL 60521-2935
Phone
(630) 887-6929
Fax
(630) 887-6930
NPI assigned
Nov 7, 2006
Last updated
Sep 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.007493 IL Primary

Addresses

Primary practice location

15 Spinning Wheel Rd.
Suite 24
Hinsdale, IL 60521-2935

Mailing address

15601 Sayre Ave
Oak Forest, IL 60452-1585

Other identifiers 1

IdentifierTypeStateIssuer
K23976OtherILPROVIDER ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000314 IL Practitioner - Physical Therapist in Private Practice 7517987373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 E Ogden Ave
Hinsdale, IL 60521-3544
Phone (630) 593-3002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.007493ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanad Physical Therapy LLC Physical Therapist CurrentSince Mar 9, 2022 Accepting new patients
Lymphedema-Oncology Rehab Center LLC PastSince Jan 14, 2024 Accepting new patients
Horizon Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

120 E Ogden Ave
Ste 16
Hinsdale, IL 60521
Phone (630) 593-3002

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1841369584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 SAYRE AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD.",
            "address_2": "SUITE 24",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212935",
            "telephone_number": "630-887-6929",
            "fax_number": "630-887-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANAD",
        "first_name": "MOHAMED",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.007493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID NUMBER",
            "identifier": "K23976",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.