Organization Active NPI

Life Quality P.T P.C

  • Physical Therapist
  • Breezy Point, NY
National Provider Identifier
1073889010
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018417 Issued in NY
Legal business name
LIFE QUALITY P.T P.C
Practice address
20408 Rockaway Point Blvd
Breezy Point, NY 11697-1116
Phone
(718) 634-7878
Fax
(718) 634-7879
NPI assigned
Mar 23, 2012
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Dr. Ahmed Fekry Mahmoud, DPTNPI 1396948675
Title
Owner/Director
Phone
(917) 573-4309

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 Therapist 225100000X 018417 NY Primary

Addresses

Primary practice location

20408 Rockaway Point Blvd
Breezy Point, NY 11697-1116

Mailing address

20408 Rockaway Point Blvd
Breezy Point, NY 11697-1116
Phone (718) 634-7878

Other identifiers 6

IdentifierTypeStateIssuer
MA8417OtherNYATLANTIS/EASY CHOICE
10210162OtherNYAMERIGROUP
6696905OtherNYGHI PPO
1000065520OtherNYAFFINITY
02638580MedicaidNY
092282OtherNYGHI HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130619000498 NY Part B Supplier - Clinic/Group Practice 0749429942 Receives reassigned benefits from 1 practitioner
Practice locations: Breezypoint, NY

National Provider Directory

National Provider Directory

Locations

6352 Woodhaven Blvd
Ste C
Rego Park, NY 11374
Phone (718) 424-7878

11412 Beach Channel Dr
Ste 6
Rockaway Park, NY 11694
Phone (718) 945-7878

Practitioners & affiliated clinicians

Practitioners 4

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": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1073889010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 ROCKAWAY POINT BLVD",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971116",
            "telephone_number": "718-634-7878",
            "fax_number": "718-634-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20408 ROCKAWAY POINT BLVD",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971116",
            "telephone_number": "718-634-7878",
            "fax_number": "718-634-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUALITY P.T P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "FEKRY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "917-573-4309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS/EASY CHOICE",
            "identifier": "MA8417",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10210162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "6696905",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000065520",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638580",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "092282",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breezy Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.