MEKAAEL MAHMOUD – Occupational Therapist, NPI 1568046415

MEKAAEL MAHMOUD is a healthcare provider. based in Fort myers, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 23114 (FL). The NPI Number for MEKAAEL MAHMOUD is 1568046415

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MEKAAEL MAHMOUD
NPI
1568046415
Phone
(239) 361-2890
Address
13420 PARKER COMMONS BLVD STE 106
Enumeration Date
7 May 2021
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392703973
Graduation Year
2022 (4 years ago)
PAC ID
1658751714
Group Practice PAC ID
0749660801
Professional Enrollment ID
I20240515003246
Address ID
TX78258XXXXSAXXXXXXXXXX00
Telehealth
Yes

Contacts

Other Endpoint
meka@dynamicmobilerehab.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MEKAAEL MAHMOUD

  • 13420 PARKER COMMONS BLVD STE 106

    FORT MYERS, FL 339121973

    Phone: (239) 361-2890

    Fax: (239) 361-2780

    Type: Location

  • 27 Crossway Rd

    Cranston, RI 029105222

    Phone:

    Type: Location

  • 21208 WAYMOUTH RUN

    ESTERO, FL 339283243

    Phone: (239) 361-2890

    Fax: (239) 361-2780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220707000221IOccupational Therapist In Private PracticeFLTBD
I20240515003246IOccupational Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities44019$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33418$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16716$0
97535Training for self-care or home management, each 15 minutes10513$0
97166Evaluation for occupational therapy, typically 45 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 33912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749660801View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is the registry number for MEKAAEL MAHMOUD?
The registry entry for MEKAAEL MAHMOUD shows NPI 1568046415.
Is MEKAAEL MAHMOUD's NPI status active today?
Active status means MEKAAEL MAHMOUD's NPI record is not deactivated in the public file.
What type of care does MEKAAEL MAHMOUD provide?
MEKAAEL MAHMOUD's profile centers on Occupational Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MEKAAEL MAHMOUD?
MEKAAEL MAHMOUD is associated with Fort Myers, Florida in the same public data insurers reference.
Can I export MEKAAEL MAHMOUD's record?
You can download the official NPPES record; we summarize key fields for readability.

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