Organization Active NPI

Physical Therapy of Queens PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1023288487
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016017 Issued in NY
Legal business name
PHYSICAL THERAPY OF QUEENS PC
Practice address
4050 Nostrand Ave
Brooklyn, NY 11235-2234
Phone
(718) 450-7070
NPI assigned
Mar 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Mr. Ahmed Mahmoud Elmansy, PT
Title
President
Phone
(718) 450-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 016017 NY Primary

Addresses

Primary practice location

4050 Nostrand Ave
Brooklyn, NY 11235-2234

Mailing address

8523 Fort Hamilton Pkwy Apt 3F
Brooklyn, NY 11209-4822
Phone (718) 450-7070

National Provider Directory

National Provider Directory

Locations

1461 Bath Ave
Brooklyn, NY 11228
Phone (718) 450-7070

Practitioners & affiliated clinicians

Practitioners 1

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": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1023288487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 FORT HAMILTON PKWY APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094822",
            "telephone_number": "718-450-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352234",
            "telephone_number": "718-450-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF QUEENS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "ELMANSY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-450-7070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016017",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 18, 2016; 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.