Yasser A. Abdalla, DPT, PHD
Individual provider Active NPI Physical Therapist · Brooklyn, NY
NPI 1023364007 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1023364007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 030908 (NY)
- Practice address
- 1905 Bay Ridge Pkwy Apt 1R
Brooklyn, NY 11204-5715 - Phone
- (347) 788-2430
- Fax
- (347) 602-4631
- NPI assigned
- Jul 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120816000865 | NY | Practitioner - Physical Therapist in Private Practice | 8224284633 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimized Independence OT PLLC | Physical Therapist | Current |
Accepting new patients |
| Block Institute, Inc. | Current |
Accepting new patients |
Locations
376 Bay 44th St
Brooklyn, NY 11214
Phone (718) 906-5400
2214 Stillwell Ave
Brooklyn, NY 11223
Phone (718) 372-7227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 030908 | NY | Yes |
Addresses
Primary practice location
1905 Bay Ridge Pkwy Apt 1R
Brooklyn, NY 11204-5715
Mailing address
1905 Bay Ridge Pkwy Apt 1R
Brooklyn, NY 11204-5715
Phone (347) 788-2430
Other providers in Brooklyn, NY
- Amr Mohammed Abdalla
- Mai Abdalla
- Mariam Kamal Abdalla
- Rabab Samir Abdalla
- Verena Abdalla
- Marie Abdallah
- Montaha Abdallah
- Sarha Hussien Abdallah
- Ahmed Beshr Abdel Ghaffar
- Ahmed Mahmoud Abdel Hady Sr.
All providers in Brooklyn, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.