Individual ProviderMumtaz ShamsuddinOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2203 Babcock Rd, San Antonio, TX 78229-4412(210) 614-3911PECOS EnrollmentBased on the most recent information from CMS, provider Mumtaz Shamsuddin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609334960Provider TypeIndividualFull NameShamsuddin, MumtazCredentialOTR/L, MOT, MAGenderFemaleSole ProprietorNoEnumeration Date3/6/2019Last Updated5/19/2019Contact InformationPractice LocationPractice Address2203 Babcock Rd, San Antonio, TX 78229-4412Phone(210) 614-3911FaxUnlisted FaxMailing LocationMailing Address2203 Babcock Rd, San Antonio, TX 78229-4412Phone(210) 614-3911FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense119826Texas