Active NPI
Rwan H Ezzat, PT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047047-01
- Practice address
- 2003 Coney Island Ave
Brooklyn, NY 11223-2328 - Phone
- (917) 723-0687
- NPI assigned
- Jun 12, 2021
- Sex
- Female
- 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 | 047047-01 | NY | Primary |
Addresses
Primary practice location
2003 Coney Island Ave
Brooklyn, NY 11223-2328
Mailing address
1617 Dahill Rd
Brooklyn, NY 11223-1748
Phone (646) 919-4334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210709000738 | NY | Practitioner - Physical Therapist in Private Practice | 6608278940 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Health Sos PT PCFamily Health Physical Therapy PLLC
Practice addresses (Care Compare)
1 Hanson PL
Brooklyn, NY 11243-2900
Phone (914) 400-1500
156 William St
Suite 800
New York, NY 10038-2609
Phone 2122670240406
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047047-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| Go Rehab PT P.C. | Single Specialty | Current | Accepting new patients |
| Health Sos PT PC | Single Specialty | Current | Accepting new patients |
| Family Health Physical Therapy, PLLC | Single Specialty | Current | Accepting new patients |
| Core Physical Therapy Services PC | Single Specialty | Current | Accepting new patients |
Locations
616 Bedford Ave
Bellmore, NY 11710
Phone (516) 586-5533
400 Court St
Brooklyn, NY 11231
Phone (718) 855-1543
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
1 Hanson Pl
Brooklyn, NY 11243
Phone (718) 783-0934
163 New Hyde Park Rd
Franklin Square, NY 11010
Phone (516) 616-1111
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
1255 5th Ave
Apt 6L
New York, NY 10029
Phone (914) 390-0080
156 William St
Rm 800
New York, NY 10038
Phone (212) 267-0240
80 5th Ave
Rm 1004
New York, NY 10011
Phone (201) 465-0241
139 E 57th St
New York, NY 10022
Phone (212) 753-4767
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
Organizations & group practices 5
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.
-
- Physical Therapist
- New York, NY
- NPI 1942717095
NY, Single Specialty
-
- Physical Therapist
- Brooklyn, NY
- NPI 1184269755
NY, Single Specialty
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
NY, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623456000000",
"number": "1053989467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 DAHILL RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231748",
"telephone_number": "646-919-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232328",
"telephone_number": "917-723-0687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZZAT",
"first_name": "RWAN",
"middle_name": "H",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-12",
"last_updated": "2021-06-12",
"certification_date": "2021-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "047047-01",
"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 Jun 12, 2021; 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.