Healthcare Provider Details

I. General information

NPI: 1497611552
Provider Name (Legal Business Name): HUSSEIN AHMED MUSSE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2026
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 N 31ST ST
OMAHA NE
68111-4212
US

IV. Provider business mailing address

2020 N 31ST ST
OMAHA NE
68111-4212
US

V. Phone/Fax

Practice location:
  • Phone: 402-510-0479
  • Fax:
Mailing address:
  • Phone: 402-510-0479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberAGD530
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: