Mostafa El-Leboudi, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7055 High Grove Blvd
Burr Ridge, IL 60527-7628

Phone

(630) 371-1623

NPI assigned

May 27, 2022

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Achieve Orthopedic Rehabilitation Institute,IncGroup PAC ID 3274430004, 7 clinicians

Achieve Orthopedic Sports Institute LLCGroup PAC ID 6507129673, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Achieve Orthopedic Rehabilitation Institute,Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1053331447
  Medicare reassignment Care Compare group NPD
• Achieve Orthopedic Sports Institute, LLC

  • Physical Therapy Clinic/Center
  • Willowbrook, IL
  • NPI 1376066753
  Medicare reassignment Care Compare group NPD
• South Suburban Open MRI of Orland, LLC

  • Radiology Clinic/Center
  • Orland Hills, IL
  • NPI 1881639425
  NPD (past)

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1851030936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604809998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277628",
            "telephone_number": "630-371-1623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 E Delware Pl",
            "address_2": "1460",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60611",
            "country_code": "US",
            "telephone_number": "312-642-3963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Kingery Hwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605272326",
            "country_code": "US",
            "telephone_number": "630-891-3980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Pasquinelli Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591290",
            "country_code": "US",
            "telephone_number": "630-568-3076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Macom Dr",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605649358",
            "country_code": "US",
            "telephone_number": "630-369-8585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9121 159th St # D&e",
            "address_purpose": "LOCATION",
            "city": "Orland Hills",
            "state": "IL",
            "postal_code": "604875901",
            "country_code": "US",
            "telephone_number": "708-403-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-LEBOUDI",
        "first_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manjula Dundoo, MD
• Mark S Dworkin, MD
• Andrea M Dwyer, PA
• John S Ebersole, MD
• Deborah V Edidin, MD
• Allison Elber, PHD
• John E Ellis, MD
• Michael H Ellman, MD
• Emericare Inc
• Rachel Elizabeth Epps, MA

• Physical Therapist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.