Individual provider Active NPI

Rwan H Ezzat, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1053989467
Registry record updated Jun 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047047-01 Issued in NY
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

Updated by the provider on Jun 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 7214955533, 24 clinicians
Family Health Physical Therapy PLLCGroup PAC ID 1355691734, 7 clinicians

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 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047047-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Go Rehab PT P.C. Single Specialty CurrentSince Jan 16, 2024 Accepting new patients
Health Sos PT PC Single Specialty CurrentSince Jun 30, 2025 Accepting new patients
Family Health Physical Therapy, PLLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Core Physical Therapy Services PC Single Specialty CurrentSince Jun 1, 2021 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.

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.

Verify at the official NPI Registry.