Pathway Physical Therapy Rehabilitation PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PATHWAY PHYSICAL THERAPY REHABILITATION PLLC

Practice address

4080 Broadway
New York, NY 10032-1572

Phone

(646) 775-5923

NPI assigned

Mar 4, 2026

Organization subpart

No

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

Authorized official

Name

Omar Elgendy, PTNPI 1205368719

Title

Owner

Phone

(646) 775-5923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omar Elgendy, PT

  • Physical Therapist
  • Far Rockaway, NY
  • NPI 1205368719
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1124974084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321572",
            "telephone_number": "646-775-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321572",
            "telephone_number": "646-775-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY PHYSICAL THERAPY REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "ELGENDY",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-775-5923",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in New York, NY
• Providers in New York, 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 Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.