Crestwater Physical Therapy PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

021464-1 Issued in NY

Legal business name

CRESTWATER PHYSICAL THERAPY PC

Practice address

7129 5TH Ave
Brooklyn, NY 11209-1678

Phone

(718) 745-1313

Fax

(718) 745-1333

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Mai Abdalla, DPT

Title

Owner

Phone

(718) 745-1313

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Areej Ashraf Hassan

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1386550242
  NPD (past)
• Ashraf Hassan, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1043245392
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1083080576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7129 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091678",
            "telephone_number": "718-745-1313",
            "fax_number": "718-745-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7129 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091678",
            "telephone_number": "718-745-1313",
            "fax_number": "718-745-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWATER PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-745-1313",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "021464-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE",
            "identifier": "021464-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cress, OTR
• Emily Cressy, LMSW
• Crest Pharmacy LTD
• Crest Transportation Services, Inc.
• Crestwater Physical Therapy
• Briana Marie Cretella
• Francesca Cretella
• Olga Cretu
• Carline Crevecoeur
• Harry Florent Crevecoeur, MD

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.