Organization Active NPI

Cornwell PT PC

  • Physical Therapy Clinic/Center
  • Malverne, NY
National Provider Identifier
1063336121
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CORNWELL PT PC
Practice address
543 Cornwell Ave
Malverne, NY 11565-1347
Phone
(347) 687-3966
Fax
(929) 999-5706
NPI assigned
Aug 10, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Dr. Mahmoud Elsayed Dawood Daif, DPTNPI 1245610773
Title
Owner
Phone
(347) 902-4699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

543 Cornwell Ave
Malverne, NY 11565-1347

Mailing address

543 Cornwell Ave
Malverne, NY 11565-1347
Phone (347) 687-3966

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1063336121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 CORNWELL AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651347",
            "telephone_number": "347-687-3966",
            "fax_number": "929-999-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 CORNWELL AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651347",
            "telephone_number": "347-687-3966",
            "fax_number": "929-999-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNWELL PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "DAIF",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "ELSAYED DAWOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-902-4699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.