Organization Active NPI

Atlas PT PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1053950014
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATLAS PT PC
Practice address
2955 Shell Rd Apt 1L
Brooklyn, NY 11224-3624
Phone
(929) 422-2019
NPI assigned
Dec 22, 2019
Last updated
Nov 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Awad Mohamed, PT
Title
President
Phone
(929) 422-2019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2955 Shell Rd Apt 1L
Brooklyn, NY 11224-3624

Mailing address

2955 Shell Rd Apt 1L
Brooklyn, NY 11224-3624
Phone (929) 422-2019

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1053950014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 SHELL RD APT 1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243624",
            "telephone_number": "929-422-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 SHELL RD APT 1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243624",
            "telephone_number": "929-422-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-22",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AWAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-422-2019",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 Nov 30, 2020; 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.