Shore Parkway PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SHORE PARKWAY PT PC

Practice address

2612 W 2ND St Apt 3B
Brooklyn, NY 11223-6316

Phone

(929) 370-4205

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Ahmed Mahrous

Title

PT,Owner

Phone

(929) 370-4205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1003697475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 W 2ND ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 W 2ND ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236316",
            "telephone_number": "929-370-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PARKWAY PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "MAHROUS",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PT,OWNER",
        "authorized_official_telephone_number": "929-370-4205"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyudmila Shor
• Shore Accupuncture PC
• Shore Dental Care, P.C.
• Shore Front LLC
• Shore Medical PC
• Shore Road Cardiology Associates, PC
• Shore Road Radiology Associates, PC
• Shore Transportation Inc
• Shore View Acquisition I, LLC
• Dara Shore, LMSW

• All providers in Brooklyn, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.