Individual provider Active NPI

Sameh Genidy, PT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1023163995
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021287 Issued in NY
Practice address
58 Salamander CT
Staten Island, NY 10309-1931
Phone
(718) 450-5278
NPI assigned
Jan 23, 2007
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021287 NY Primary

Addresses

Primary practice location

58 Salamander CT
Staten Island, NY 10309-1931

Mailing address

1599 E 15TH St Ste 2
Brooklyn, NY 11230-6759
Phone (718) 676-1743

Other names 1

  • Sameh Khela Genidy Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
021287NYMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MZS Physical Therapy PLLC Physical Therapist CurrentSince Jul 31, 2018 Accepting new patients
Blessed Hands Rehab PT PC Current Accepting new patients
Markowitz Speech and Swallowing Therapy P.C. Physical Therapist PastSince Jul 31, 2018 Accepting new patients

Locations

1651 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 382-2204

1651 Coney Island Ave
Ste 1
Brooklyn, NY 11230
Phone (718) 627-3114

1651 Coney Island Ave
Ste 2
Brooklyn, NY 11230
Phone (347) 782-6935

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1023163995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 E 15TH ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306759",
            "telephone_number": "718-676-1743",
            "fax_number": "718-676-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SALAMANDER CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091931",
            "telephone_number": "718-450-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENIDY",
        "first_name": "SAMEH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMEH",
            "last_name": "GENIDY",
            "middle_name": "KHELA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.