SAJIDAH MAHMOUD OMRAN (PT, DPT) – Physical Therapist, NPI 1114635646

SAJIDAH MAHMOUD OMRAN (PT, DPT) is a healthcare provider. based in Lexington, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 08669 (KY). The NPI Number for SAJIDAH MAHMOUD OMRAN (PT, DPT) is 1114635646

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SAJIDAH MAHMOUD OMRAN (PT, DPT)
NPI
1114635646
Phone
(859) 294-8320
Address
101 N Eagle Creek Dr
Enumeration Date
14 November 2022
Last Update Date
26 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3015406140
Graduation Year
2022 (4 years ago)
PAC ID
2961902309
Group Practice PAC ID
7012379134
Professional Enrollment ID
I20250827002819
Address ID
MD21044XXXXCOXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for SAJIDAH MAHMOUD OMRAN (PT, DPT)

  • 101 N Eagle Creek Dr

    Lexington, KY 405091806

    Phone: (859) 294-8320

    Fax: (859) 299-3508

    Type: Location

  • 8885 CENTRE PARK DR

    COLUMBIA, MD 210452199

    Phone: (410) 730-1275

    Fax: (410) 740-2497

    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: 2025-08-27

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
I20250821001071IPhysical Therapist In Private PracticeDCTBD
I20250827002819IPhysical Therapist In Private PracticeMDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40509)

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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: 7012379134View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeDE
Physical Therapist In Private PracticeMD

Reviews

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Frequently asked questions

Is there an official ID for SAJIDAH MAHMOUD OMRAN (PT, DPT) in U.S. healthcare records?
The official identifier for SAJIDAH MAHMOUD OMRAN (PT, DPT) is NPI 1114635646.
Is there an active status for SAJIDAH MAHMOUD OMRAN (PT, DPT)?
For scheduling context, SAJIDAH MAHMOUD OMRAN (PT, DPT) is shown as active in the registry.
What clinical focus is listed for SAJIDAH MAHMOUD OMRAN (PT, DPT)?
At a glance, SAJIDAH MAHMOUD OMRAN (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SAJIDAH MAHMOUD OMRAN (PT, DPT) located near Lexington?
SAJIDAH MAHMOUD OMRAN (PT, DPT) currently maps to Lexington, Kentucky in this extract.
Does SAJIDAH MAHMOUD OMRAN (PT, DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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