Active NPI
Gramercy Park Physical Therapy PC
- Physical Therapy Clinic/Center
- Floral Park, NY
National Provider Identifier
1003150640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 031486
- Legal business name
- GRAMERCY PARK PHYSICAL THERAPY PC
- Practice address
- 173 Tulip Ave
Floral Park, NY 11001-2703 - Phone
- (718) 285-2706
- Fax
- (516) 407-5189
- NPI assigned
- Nov 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yehia Mohamed, DPT
- Title
- Owner/ President
- Phone
- (718) 285-2706
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 031486 | NY | Primary |
Addresses
Primary practice location
173 Tulip Ave
Floral Park, NY 11001-2703
Mailing address
173 Tulip Ave
Floral Park, NY 11001-2703
Phone (718) 285-2706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
173 Tulip Ave
Floral Park, NY 11001
Phone (516) 214-5797
3247 Richmond Ave
Staten Island, NY 10312
Phone (646) 750-4949
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- New York, NY
- NPI 1124344312
-
- Physical Therapist
- Great Neck, NY
- NPI 1134905276
-
- Physical Therapist
- Potsdam, NY
- NPI 1366192254
-
- Physical Therapist
- Floral Park, NY
- NPI 1629811229
-
- Physical Therapy Assistant
- Floral Park, NY
- NPI 1194540732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709251200000",
"number": "1003150640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 TULIP AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012703",
"telephone_number": "718-285-2706",
"fax_number": "516-407-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 TULIP AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012703",
"telephone_number": "718-285-2706",
"fax_number": "516-407-5189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAMERCY PARK PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-20",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "YEHIA",
"authorized_official_title_or_position": "OWNER/ PRESIDENT",
"authorized_official_telephone_number": "718-285-2706",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "031486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.