Individual provider Active NPI

Ahmed Mohamed

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1164255691
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053065 Issued in NY
Practice address
1230 Fulton St
Brooklyn, NY 11216-2003
Phone
(718) 648-0888
Fax
(855) 955-3899
NPI assigned
Aug 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 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 053065 NY Primary

Addresses

Primary practice location

1230 Fulton St
Brooklyn, NY 11216-2003

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828004591 NY Practitioner - Physical Therapist in Private Practice 3476092909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy of the City PCGroup PAC ID 8820358484, 77 clinicians

Practice addresses (Care Compare)

1230 Fulton St
Brooklyn, NY 11216-2003
Phone (718) 648-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053065NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Physical Therapy of the City PC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients

Locations

732 Allerton Ave
Bronx, NY 10467
Phone (718) 516-0572

798 Southern Blvd
Bronx, NY 10455
Phone (212) 540-5550

612 Castle Hill Ave
Bronx, NY 10473

2488 Grand Concourse
Rm 205
Bronx, NY 10458

3553 Johnson Ave
Bronx, NY 10463

8403 3rd Ave
Brooklyn, NY 11209

1230 Fulton St
Brooklyn, NY 11216
Phone (347) 604-6733

1685 Pitkin Ave
Brooklyn, NY 11212

1600 Avenue M
Brooklyn, NY 11230
Phone (212) 505-5055

5418 5th Ave
Brooklyn, NY 11220
Phone (646) 752-7058

5316 Church Ave
Brooklyn, NY 11203

286 Court St
Brooklyn, NY 11231
Phone (347) 604-6733

18230 Hillside Ave
Jamaica, NY 11432

231 W 19th St
New York, NY 10011
Phone (347) 604-6733

575 8th Ave
New York, NY 10018
Phone (917) 286-4261

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

4875 Broadway
New York, NY 10034

201 E 77th St
New York, NY 10075
Phone (212) 879-6621

1458 Lexington Ave
New York, NY 10128

752 Saint Nicholas Ave
#A
New York, NY 10031

17 W 125th St
New York, NY 10027
Phone (212) 831-0200

111 Worth St
New York, NY 10013
Phone (212) 571-4621

Organizations & group practices 2

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": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1164255691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8746 20TH AVE # L",
            "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": "1230 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162003",
            "telephone_number": "718-648-0888",
            "fax_number": "855-955-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AHMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053065",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 21, 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.