DR. MUDDASSIR MOHIUDDIN (PT, DPT) – Physical Therapist, NPI 1588095277

DR. MUDDASSIR MOHIUDDIN (PT, DPT) is a healthcare provider. based in Greendale, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 12573-24 (WI). The NPI Number for DR. MUDDASSIR MOHIUDDIN (PT, DPT) is 1588095277

Main info

Male
13 Years Of Experience
Name
DR. MUDDASSIR MOHIUDDIN (PT, DPT)
NPI
1588095277
Phone
(414) 210-0088
Address
7711 FREELAND CT
Enumeration Date
5 December 2013
Last Update Date
20 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4149394411
Graduation Year
2013 (13 years ago)
PAC ID
1153613120
Group Practice PAC ID
7618258062
Professional Enrollment ID
I20160712001880
Address ID
WI532212426MI803XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for DR. MUDDASSIR MOHIUDDIN (PT, DPT)

  • 7711 FREELAND CT

    GREENDALE, WI 531291658

    Phone: (414) 210-0088

    Fax: (414) 509-1630

    Mailing address matches the actual address.

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: 2016-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160712001880IPhysical Therapist In Private PracticeWITBD

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 activities39845$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27135$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes25432$0
97140Therapy procedure using manual technique, each 15 minutes13913$0
97535Training for self-care or home management, each 15 minutes2516$0
View full utilization report →

Insurance plans in this area (ZIP 53129)

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Provider's Procedures

DR. MUDDASSIR MOHIUDDIN (PT, DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWI97001Physical therapy evaluation3027

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: 7618258062View full group profile
NameSpecialtyState
Internal MedicineWI
Family PracticeWI
Occupational Therapist In Private PracticeWI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Occupational Therapist In Private PracticeWI
Physician AssistantWI
Physical Therapist In Private PracticeWI
Qualified Speech Language PathologistWI

Reviews

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Frequently asked questions

Can I cross-check DR. MUDDASSIR MOHIUDDIN (PT, DPT) using NPI 1588095277?
NPI 1588095277 belongs to DR. MUDDASSIR MOHIUDDIN (PT, DPT); compare other details if you need extra assurance.
Would DR. MUDDASSIR MOHIUDDIN (PT, DPT) appear as active to a payer?
You can treat DR. MUDDASSIR MOHIUDDIN (PT, DPT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MUDDASSIR MOHIUDDIN (PT, DPT)?
At a glance, DR. MUDDASSIR MOHIUDDIN (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MUDDASSIR MOHIUDDIN (PT, DPT)?
Directory geography for DR. MUDDASSIR MOHIUDDIN (PT, DPT) centers on Greendale, Wisconsin.
When was this NPI issued?
Enumeration for DR. MUDDASSIR MOHIUDDIN (PT, DPT) is noted as December 5, 2013 where the registry provides it.

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