Queens Orthoppedic Care PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

QUEENS ORTHOPPEDIC CARE PT PC

Practice address

632 Utica Ave
Brooklyn, NY 11203-2210

Phone

(929) 575-2488

NPI assigned

Apr 7, 2023

Last updated

Apr 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mahmoud Mohamed, PT, DPT , PHD, OCSNPI 1538729272

Title

Owner

Phone

(929) 575-2488

Specialties & licenses 1

Addresses

Tax ID family

Queens Orthopedic Care PT PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Queens Orthopedic Care PT PC

  • Orthopedic Physical Therapist
  • Rego Park, NY
  • NPI 1801722145
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahmoud Diab Mohamed, DPT, PHD

  • Physical Therapist
  • Forest Hills, NY
  • NPI 1538729272
  NPD Authorized official

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1144915026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 ELLWELL CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745032",
            "telephone_number": "929-575-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032210",
            "telephone_number": "929-575-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS ORTHOPPEDIC CARE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-575-2488",
        "authorized_official_credential": "PT, DPT , PHD, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadim Hasan Quazi, DO
• Leonisy Valderamos Queano, FNP
• Ingrid Queen-Jolly
• Sherry Queen, AUD
• Queened Drugs Inc (J Konwaler Drugs Inc)
• Queens Pharmacy Corp (Bay Pharmacy)
• Queens Pharmacy Corp. (Bay Pharmacy)
• Queens Social Adult Day Care Inc
• Corina Quel
• Quentin Medical Lab

• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.