Organization Active NPI

Optimum Rehab PT PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1194965715
Registry record updated Feb 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
023521 Issued in NY
Legal business name
OPTIMUM REHAB PT PC
Practice address
546 67TH St
Brooklyn, NY 11220-4921
Phone
(718) 921-5609
NPI assigned
Feb 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2009

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

Authorized official

Name
Ahmed Abdelfatah, PT
Title
P.T
Phone
(718) 921-5609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 023521 NY Primary

Addresses

Primary practice location

546 67TH St
Brooklyn, NY 11220-4921

Mailing address

546 67TH St
Brooklyn, NY 11220-4921
Phone (718) 921-5609

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235260800000",
    "number": "1194965715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 67TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204921",
            "telephone_number": "718-921-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 67TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204921",
            "telephone_number": "718-921-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-22",
        "last_updated": "2009-02-22",
        "status": "A",
        "authorized_official_last_name": "ABDELFATAH",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "P.T",
        "authorized_official_telephone_number": "718-921-5609",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "023521",
            "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 Feb 22, 2009; 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.