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

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