Moni Sanusi
NPI 1194054072ActiveIndividual· Contractor· Laurel, MD
Contractor with 360 Physical Therapy LLC, practicing in Laurel, Maryland. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1194054072 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 23, 2009 |
| Last updated in NPPES | Dec 23, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | 23053 | MD |
| Specialist | 174400000X | 23053 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- 360 Physical Therapy LLCMesa, AZ · 86 clinicians
Other Contractor providers in Laurel
- 1093252173
- 1689531477
- 1649518598
- 1972712834
- 1861949596
- 1770343329
- 1114040078
- 1932506706
- 1336491117
- 1215270996