Mouzzam Kagalwala

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1303170 Issued in TX

Practice address

7001 McPherson Rd
Laredo, TX 78041-6410

Phone

(956) 723-7001

NPI assigned

Jan 23, 2019

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Synergy Care Southeast, LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1972067981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 FASKEN BLVD APT 724",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457355",
            "telephone_number": "940-337-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416410",
            "telephone_number": "956-723-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGALWALA",
        "first_name": "MOUZZAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1303170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody A Julmice
• Juntos Caminaremos Inc.
• Amine Kaddour-Djebbar
• Alma S Kafati, RPH
• Kafob Health LLC
• Richard Charles Kahn
• Ma Krishciel Kalata, MD
• Jacob Arthur Kallsen, MD
• Thomas William Kandell, M.D.
• Kanuba Inc

• Physical Therapist in Laredo, TX
• Providers in Laredo, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.