Active NPI
Yehia Abouelyousr Mohamed, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1124344312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031486
- Practice address
- 928 Broadway Suite 301
Gramercy Park Physical Therapy
New York, NY 10010-6008 - Phone
- (718) 285-2706
- Fax
- (646) 202-1859
- NPI assigned
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 031486 | NY | Primary |
Addresses
Primary practice location
928 Broadway Suite 301
Gramercy Park Physical Therapy
New York, NY 10010-6008
Mailing address
928 Broadway Suite 301
Gramercy Park Physical Therapy
New York, NY 10010-6008
Phone (718) 285-2706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
366 N Broadway
Jericho, NY 11753-2000
Phone (516) 433-4242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031486 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenridge Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Gramercy Park Physical Therapy PC | Current | Accepting new patients | |
| Tulip Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
366 N Broadway
Ste 413
Jericho, NY 11753
Phone (516) 433-4242
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Floral Park, NY
- NPI 1003150640
-
- Physical Therapist
- Staten Island, NY
- NPI 1699532226
-
- Physical Therapy Clinic/Center
- Floral Park, NY
- NPI 1588555601
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1124344312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 BROADWAY SUITE 301",
"address_2": "GRAMERCY PARK PHYSICAL THERAPY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106008",
"telephone_number": "718-285-2706",
"fax_number": "646-202-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 BROADWAY SUITE 301",
"address_2": "GRAMERCY PARK PHYSICAL THERAPY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106008",
"telephone_number": "718-285-2706",
"fax_number": "646-202-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "YEHIA",
"middle_name": "ABOUELYOUSR",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-13",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.