Derar Mahmoud, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113970 Issued in TX

Practice address

12777 Beechnut St
Houston, TX 77072-3820

Phone

(281) 879-8040

NPI assigned

Apr 11, 2008

Last updated

Mar 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Georgetown, TX
  • NPI 1952531154

  Occupational Therapist

  Medicare reassignment NPD
• Reliant Pro Rehab LLC

  dba Reliant Rehabilitation

  • Physical Therapist
  • Plano, TX
  • NPI 1922404664

  Occupational Therapist

  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1912170770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17911 HYDE COVE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075010",
            "telephone_number": "713-384-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770723820",
            "telephone_number": "281-879-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "DERAR",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OCCUPATIONAL THERAPY LICENSE",
            "identifier": "113970",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "derar.mahmoud@selectrehab.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "business email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "12777 Beechnut St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770723820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tasneem Mahmood, DDS
• Yassmin Mahmoodpour Soudjani
• Sahar Mahmoodpour, O.D.
• Mahmoud Irannezhad DDS, PLLC
• Aya Mahmoud
• Khalid Hussain Mahmoud
• Mohamed Saad Ismail Mahmoud, MD
• Nousayba Mahmoud
• Omar Mahmoud
• Salwa Mahmoud, LPC

• Occupational Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.