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

Last updated

Apr 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fathi ElnaggarNPI 1205192002

Title

President

Phone

(347) 465-6669

Specialties & licenses 1

Addresses

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.

• Fathi Abdelwahab Elnaggar, PT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1205192002
  Authorized official Same address or phone

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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• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
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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.