Professional Rehab Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030908 Issued in NY

Legal business name

PROFESSIONAL REHAB PHYSICAL THERAPY P.C.

Practice address

2184 Flatbush Ave
Brooklyn, NY 11234-4326

Phone

(347) 788-2430

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Prof. Yasser Abdalla

Title

President

Phone

(347) 788-2430

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1104283761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BAY 10TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344326",
            "telephone_number": "347-788-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHAB PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-788-2430",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.