Individual provider Active NPI

Mahmoud El-Meghallawy

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1023921491
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
055780-01 Issued in NY
Practice address
1180 Bushwick Ave Apt 2a
Brooklyn, NY 11221-4824
Phone
(773) 240-2434
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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 055780-01 NY Primary

Addresses

Primary practice location

1180 Bushwick Ave Apt 2a
Brooklyn, NY 11221-4824

Mailing address

7120 W 108TH St Unit 1B
Worth, IL 60482-1666
Phone (773) 240-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1023921491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 W 108TH ST UNIT 1B",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821666",
            "telephone_number": "773-240-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BUSHWICK AVE APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214824",
            "telephone_number": "773-240-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-MEGHALLAWY",
        "first_name": "MAHMOUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "055780-01",
            "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 Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.