Intelligent Care PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTELLIGENT CARE PT PC

Practice address

127 Ridgeway Ave
Staten Island, NY 10314-4729

Phone

(718) 504-6323

NPI assigned

Jul 7, 2017

Organization subpart

No

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

Authorized official

Name

Fathi Elnaggar

Title

President

Phone

(347) 465-6669

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1083136303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 RIDGEWAY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 RIDGEWAY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144729",
            "telephone_number": "718-504-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIGENT CARE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "ELNAGGAR",
        "authorized_official_first_name": "FATHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-465-6669"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.