Individual provider Active NPI

Bobbak Mozafari, DC

  • Rehabilitation Chiropractor
  • Rockville, MD
National Provider Identifier
1902121064
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
S03751 Issued in MD
Practice address
9210 Corporate Blvd Ste 345
Rockville, MD 20850-6550
Phone
(240) 246-8880
Fax
(240) 246-8881
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X S03751 MD Primary

Addresses

Primary practice location

9210 Corporate Blvd Ste 345
Rockville, MD 20850-6550

Mailing address

9210 Corporate Blvd Ste 345
Rockville, MD 20850-6550
Phone (240) 246-8880

Other names 1

  • Dr. Bobby Mozafari Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Neuform Physiotherapy LLC CurrentSince Feb 8, 2023 Accepting new patients
Gateway 2 Health Inc PastSince Jan 1, 2011 Accepting new patients

Locations

6860 Olney Laytonsville Rd
Unit 3
Laytonsville, MD 20882
Phone (301) 570-7970

9210 Corporate Blvd
Ste 345
Rockville, MD 20850
Phone (240) 246-8880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1902121064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 CORPORATE BLVD STE 345",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506550",
            "telephone_number": "240-246-8880",
            "fax_number": "240-246-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 CORPORATE BLVD STE 345",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506550",
            "telephone_number": "240-246-8880",
            "fax_number": "240-246-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZAFARI",
        "first_name": "BOBBAK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S03751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "MOZAFARI",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.