Organization Active NPI

Gramercy Park Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Floral Park, NY
National Provider Identifier
1003150640
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
031486 Issued in NY
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

Updated by the provider on Mar 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yehia Mohamed, DPTNPI 1124344312
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20150623001053 NY Part B Supplier - Clinic/Group Practice 2668783283 Receives reassigned benefits from 3 practitioners
Practice locations: Floral Park, NY; Hempstead, NY; Jericho, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.