Organization Active NPI

Pioneers Steps Rehab PT PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1003328980
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033753 Issued in NY
Legal business name
PIONEERS STEPS REHAB PT PC
Practice address
632 Utica Ave
Brooklyn, NY 11203-2210
Phone
(929) 245-0631
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Dr. Medhat El Nazer, DPT
Title
President
Phone
(929) 245-0631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 033753 NY Primary

Addresses

Primary practice location

632 Utica Ave
Brooklyn, NY 11203-2210

Mailing address

632 Utica Ave
Brooklyn, NY 11203-2210

Other identifiers 1

IdentifierTypeStateIssuer
033753OtherNYLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1003328980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032210",
            "telephone_number": "929-245-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEERS STEPS REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "EL NAZER",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-245-0631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "033753",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.