Individual provider Active NPI

Omar Al-Dweik

  • Physical Therapist
  • New York, NY
National Provider Identifier
1144082785
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051340 Issued in NY
Practice address
752A Saint Nicholas Ave
New York, NY 10031-4002
Phone
(718) 648-0888
Fax
(855) 955-3899
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 051340 NY Primary

Addresses

Primary practice location

752A Saint Nicholas Ave
New York, NY 10031-4002

Mailing address

8746 20TH Ave # 1L
Brooklyn, NY 11214-4802
Phone (718) 648-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240213004823 NY Practitioner - Physical Therapist in Private Practice 9234573650 Reassigns benefits to 1 organization
I20260120001583 NJ Practitioner - Physical Therapist in Private Practice 9234573650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 Getty Ave
Paterson, NJ 07503-0002

385 Clinton Ave
Wyckoff, NJ 07481-1969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Therapy LLC Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
Physical Therapy of the City PC Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Madison Physical Therapy Physical Therapist PastSince May 23, 2019 Accepting new patients

Locations

800 E Gate Blvd
Garden City, NY 11530

752 Saint Nicholas Ave
#A
New York, NY 10031

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1144082785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8746 20TH AVE # 1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144802",
            "telephone_number": "718-648-0888",
            "fax_number": "855-955-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752A SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314002",
            "telephone_number": "718-648-0888",
            "fax_number": "855-955-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-DWEIK",
        "first_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051340",
            "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 Jan 29, 2024; 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.