Individual provider Active NPI

Gamal Ismail Mousa, PT PHD APD MS

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1124004833
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018836 Issued in NY
Practice address
447 Bay Ridge Ave
Brooklyn, NY 11220-5973
Phone
(718) 238-6162
Fax
(718) 333-5927
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 018836 NY Primary

Addresses

Primary practice location

447 Bay Ridge Ave
Brooklyn, NY 11220-5973

Mailing address

6903 4TH Ave
1St FL
Brooklyn, NY 11209-1509
Phone (718) 745-7200

Other practice location 1

6903 4th Ave
1st fl
Brooklyn, NY 11209-1509
Phone (718) 238-6162

Other identifiers 1

IdentifierTypeStateIssuer
189317POtherHIP PRESS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000622 NY Practitioner - Physical Therapist in Private Practice 8921066721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6903 4TH Ave
Suite 1
Brooklyn, NY 11209-1556
Phone (718) 238-6162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
All Physical Therapy Gamal Mousa PLLC Current Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Rehab R US PT PC Past Accepting new patients
A New Stride P T S L P Therapeutic Services PLLC Physical Therapist PastSince Jan 1, 2011 Accepting new patients

Locations

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1124004833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 4TH AVE",
            "address_2": "1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091509",
            "telephone_number": "718-745-7200",
            "fax_number": "718-745-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205973",
            "telephone_number": "718-238-6162",
            "fax_number": "718-333-5927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6903 4th Ave",
            "address_2": "1st fl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112091509",
            "country_code": "US",
            "telephone_number": "718-238-6162",
            "fax_number": "718-333-5927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "GAMAL",
        "middle_name": "ISMAIL",
        "credential": "PT PHD APD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PRESS",
            "identifier": "189317P",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.