Active NPI
Albaraa Hendawi
- Physical Therapist
- Queens, NY
National Provider Identifier
1013531128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044190
- Practice address
- 23-31 Steinway St
Queens, NY 11103 - Phone
- (929) 463-7104
- NPI assigned
- Jun 4, 2020
- Reactivated
- Aug 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 044190 | NY | Primary |
Addresses
Primary practice location
23-31 Steinway St
Queens, NY 11103
Mailing address
111 Bay 29TH Street
3Rd Floor
New York, NY 11214
Phone (347) 435-6293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044190 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1013531128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BAY 29TH STREET",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11214",
"telephone_number": "347-435-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23-31 STEINWAY ST",
"city": "QUEENS",
"state": "NY",
"postal_code": "11103",
"telephone_number": "929-463-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDAWI",
"first_name": "ALBARAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"deactivation_date": "2022-01-18",
"reactivation_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.