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MOHAMED LADAK ISMAIL PTA NPI 1992078547


NPI Information

NPI: 1992078547
Provider Name: MOHAMED LADAK ISMAIL, PTA
Classification: Dance Therapist - 225600000X
Entity Type: Individual
Address:
1201 6TH AVE
#2
SAN FRANCISCO, CA
ZIP 94122
Phone: (415) 316-9701
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Mohamed Ladak Ismail, PTA is a dance therapist in San Francisco, CA. The provider is the dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master's degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR). Mohamed Ladak Ismail, PTA NPI is 1992078547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1201 6TH AVE
#2
SAN FRANCISCO, CA
ZIP 94122-540
Phone: (415) 316-9701

The enumeration date for this NPI number is 2/13/2012 and was last updated on 2/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2225600000XDance TherapistAT5509CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
155213MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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