Individual provider Active NPI

Ashraf Hassan, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1043245392
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019429 Issued in NY
Practice address
6919 4TH Ave
Brooklyn, NY 11209-1501
Phone
(718) 745-2020
Fax
(718) 745-2022
NPI assigned
Jul 12, 2006
Last updated
Jun 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 019429 NY
Physical Therapist 225100000X 019429 NY Primary

Addresses

Primary practice location

6919 4TH Ave
Brooklyn, NY 11209-1501

Mailing address

45 Crestwater CT
Staten Island, NY 10305-4300
Phone (817) 816-0143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040731000003 NY Practitioner - Physical Therapist in Private Practice 8921078379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
At Your Doorstep OT PLLCGroup PAC ID 8022542653, 5 clinicians

Practice addresses (Care Compare)

6919 4TH Ave
Brooklyn, NY 11209-1501
Phone (718) 745-2020

75 Oceana Dr E
Apt 3D
Brooklyn, NY 11235-6671
Phone (917) 720-7649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019429NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
At Your Doorstep OT PLLC Physical Therapist CurrentSince Apr 25, 2025 Accepting new patients
Quality Physical Therapy PC Specialist CurrentSince Jun 1, 2006 Accepting new patients
Crestwater Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

6919 4th Ave
Brooklyn, NY 11209
Phone (718) 745-2020

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, 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1043245392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CRESTWATER CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054300",
            "telephone_number": "817-816-0143",
            "fax_number": "718-816-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091501",
            "telephone_number": "718-745-2020",
            "fax_number": "718-745-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "ASHRAF",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "019429",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019429",
            "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 Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.