Active NPI
Mahmoud Elsayed Elsanaa, PHYSICAL THERAPY
- Physical Therapist
- Elmhurst, NY
National Provider Identifier
1033587464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038838-1
- Practice address
- 86-09 51St Ave
Elmhurst, NY 11373 - Phone
- (718) 760-8881
- Fax
- (718) 760-8880
- NPI assigned
- Sep 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 038838-1 | NY | Primary |
Addresses
Primary practice location
86-09 51St Ave
Elmhurst, NY 11373
Mailing address
28 Lake Dr W
Wayne, NJ 07470
Phone (718) 760-8881
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038838-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Advising Corporation | Current | Accepting new patients | |
| Relievers Physical Therapy PC | Current | Accepting new patients | |
| Allhealth Rehab LLC | Physical Therapist | Past | Accepting new patients |
Locations
2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1467933838
-
- Home Health Aide
- Brooklyn, NY
- NPI 1649800855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1033587464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 LAKE DR W",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "718-760-8881",
"fax_number": "718-760-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86-09 51ST AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-760-8881",
"fax_number": "718-760-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSANAA",
"first_name": "MAHMOUD",
"middle_name": "ELSAYED",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-02",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038838-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.