Provider Demographics
NPI:1245330174
Name:SABBAHI, MOHAMED (PHD, PT, ECS)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:
Last Name:SABBAHI
Suffix:
Gender:
Credentials:PHD, PT, ECS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 HERMANN DR
Mailing Address - Street 2:SUITE 255
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7018
Mailing Address - Country:US
Mailing Address - Phone:713-522-6004
Mailing Address - Fax:713-522-8785
Practice Address - Street 1:1213 HERMANN DR
Practice Address - Street 2:SUITE 255
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7018
Practice Address - Country:US
Practice Address - Phone:713-522-6004
Practice Address - Fax:713-522-8785
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1040822225100000X, 2251E1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, Clinical
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F5710Medicare PIN
TXPT 1040822Medicare UPIN