Individual provider Active NPI

Abdelhalim Zaghloul Nada, PT, DPT, PHD.

  • Physical Therapist
  • Monticello, NY
National Provider Identifier
1215354592
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034785
Practice address
427 Boardway, Suite #3
Mountain Physical Therapy
Monticello, NY 12701
Phone
(845) 796-2470
Fax
(845) 796-1420
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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 034785 Primary

Addresses

Primary practice location

427 Boardway, Suite #3
Mountain Physical Therapy
Monticello, NY 12701

Mailing address

427 Boardway Suite #3
Mountain Physical Therapy
Monticello, NY 12701
Phone (845) 796-2470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204001173 NY Practitioner - Physical Therapist in Private Practice 2769786136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

427 Broadway
Suite 3
Monticello, NY 12701-1743
Phone (845) 796-2470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
034785NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alnada Physical Therapy PC Physical Therapist CurrentSince Jun 25, 2018 Accepting new patients

Locations

427 Broadway
Ste 3
Monticello, NY 12701
Phone (845) 292-2006

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1215354592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BOARDWAY SUITE #3",
            "address_2": "MOUNTAIN PHYSICAL THERAPY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-796-2470",
            "fax_number": "845-796-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BOARDWAY, SUITE #3",
            "address_2": "MOUNTAIN PHYSICAL THERAPY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-796-2470",
            "fax_number": "845-796-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADA",
        "first_name": "ABDELHALIM",
        "middle_name": "ZAGHLOUL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "034785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.