Active NPI
Mary-Jo Mohl, MSPT
- Physical Therapist
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29960
- Practice address
- 800 SE Central Pkwy
Stuart, FL 34994-3901 - Phone
- (772) 287-9912
- NPI assigned
- Mar 17, 2008
- Last updated
- Nov 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18569 | MD | |
| Physical Therapist | 225100000X | 2305005251 | VA | |
| Physical Therapist | 225100000X | 3682 | NH | |
| Physical Therapist | 225100000X | 10158 | MA | |
| Physical Therapist | 225100000X | PT29960 | FL | Primary |
Addresses
Primary practice location
800 SE Central Pkwy
Stuart, FL 34994-3901
Mailing address
63 Stevens Dr
Brentwood, NH 03833-6401
Phone (301) 442-3386
Other practice location 1
14409 Greenview Dr Ste 102
Laurel, MD 20708-4213
Phone (301) 498-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
279 NW California Blvd
Port Saint Lucie, FL 34986-2507
Phone (786) 770-9480
910 Regency SQ
Vero Beach, FL 32967-1800
Phone (772) 213-0423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10158 | MA | MD | General Practice Dentistry |
| 18569 | MD | MD | Physical Therapist |
| 3682 | NH | MD | Physical Therapist |
| 2305005251 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Sobe Innovative Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Rehabilitation Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Associated Professional Rehabilitation Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
910 Regency Sq
Vero Beach, FL 32967
Phone (772) 213-0423
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 7
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.
-
dba Powerback Rehabilitation
- Physical Therapist
- Vero Beach, FL
- NPI 1710789565
-
- Physical Therapist
- Miami, FL
- NPI 1164800595
-
- Physical Therapist
- Tampa, FL
- NPI 1336535988
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
-
dba Aprsi, Rsi
- Physical Therapist
- Laurel, MD
- NPI 1275639155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1851562912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 STEVENS DR",
"city": "BRENTWOOD",
"state": "NH",
"postal_code": "038336401",
"telephone_number": "301-442-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SE CENTRAL PKWY",
"city": "STUART",
"state": "FL",
"postal_code": "349943901",
"telephone_number": "772-287-9912"
}
],
"practiceLocations": [
{
"address_1": "14409 Greenview Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207084213",
"country_code": "US",
"telephone_number": "301-498-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHL",
"first_name": "MARY-JO",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2020-11-13",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18569",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005251",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3682",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10158",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.