Individual provider Active NPI

Mary-Jo Mohl, MSPT

  • Physical Therapist
  • Stuart, FL
National Provider Identifier
1851562912
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29960 Issued in FL
Practice address
800 SE Central Pkwy
Stuart, FL 34994-3901
Phone
(772) 287-9912
NPI assigned
Mar 17, 2008
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230303001079 FL Practitioner - Physical Therapist in Private Practice 8527431022 Reassigns benefits to 3 organizations

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
Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

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

LicenseStateTypeSpecialty
10158MAMDGeneral Practice Dentistry
18569MDMDPhysical Therapist
3682NHMDPhysical Therapist
2305005251VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Oct 2, 2025 Accepting new patients
Legacy Healthcare Services, Inc Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Oct 2, 2025 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.

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.

Verify at the official NPI Registry.