Organization Active NPI

Simple Rehab PT PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1053855528
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035442 Issued in NY
Legal business name
SIMPLE REHAB PT PC
Practice address
169 Bay 37TH St Apt 3
Brooklyn, NY 11214-5338
Phone
(347) 902-4699
NPI assigned
Dec 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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

Authorized official

Name
Mahmoud Daif, PT
Title
President
Phone
(347) 902-4699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 035442 NY Primary

Addresses

Primary practice location

169 Bay 37TH St Apt 3
Brooklyn, NY 11214-5338

Mailing address

169 Bay 37TH St Apt 3
Brooklyn, NY 11214-5338
Phone (347) 902-4699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1053855528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BAY 37TH ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145338",
            "telephone_number": "347-902-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 BAY 37TH ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145338",
            "telephone_number": "347-902-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "DAIF",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-902-4699",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035442",
            "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 Dec 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.