Ali Jordan Mohamad

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT39695 Issued in FL

Practice address

10155 Dowden Rd
Orlando, FL 32832-5224

Phone

(407) 569-1700

Fax

(407) 569-1701

NPI assigned

Nov 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577
  Medicare reassignment Care Compare group NPD
• FWD Rehab & Recovery LLC

  dba Fwd. Rehab & Performance

  • Physical Therapist
  • Orlando, FL
  • NPI 1720797228
  NPD Authorized official
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1922717420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 DOWDEN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325224",
            "telephone_number": "407-569-1700",
            "fax_number": "407-569-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 DOWDEN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325224",
            "telephone_number": "407-569-1700",
            "fax_number": "407-569-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 N Terry Ave Apt 329",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012034",
            "country_code": "US",
            "telephone_number": "407-920-0792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMAD",
        "first_name": "ALI",
        "middle_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39695.",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT39695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fwdrehab.com",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Healthcare information",
            "address_1": "462 N Terry Ave Apt 329",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328012034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EPIC",
            "address_1": "10155 Dowden Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328325224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marsibil Mogensen, MA
• Daniel Mogilevskiy, DO
• Valerie Pooja R Mogilevskiy, DO
• Sandra P Mogollon Saker, APRN
• Mark Jeffrey Mogul, M.D.
• Anisa Shabana Mohamed
• Esau Mohamed Jr., PTA
• Khaled A Mohamed, MD
• Kumail Mohamed, M.D.
• Lena Mohamed, OTR/L

• Orthopedic Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.