Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moni Sanusi

Individual provider Contractor · NPI 1194054072

Moni Sanusi is a Physical Therapist in Private Practice in Laurel, Maryland. Qualified in 2005, 21 years ago. Practices with 360 Physical Therapy LLC, a 85-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
21
Licensed in
MD
In the registry since
2009
Specialties on file
2

Practice location Address checks out

10121 Ancient Sea Path
Laurel, MD 20723
Phone: (301) 325-7188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 23053 (MD)
Specialist Taxonomy 174400000X · Licence 23053 (MD)

Record details

NPI number1194054072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2009
Last updated in NPPESDecember 23, 2009
Mailing address10121 Ancient Sea Path, Laurel, MD 20723-5862

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice 360 Physical Therapy Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Laurel