Active NPI
Mourad Nakhla
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1215790126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022945
- Practice address
- 17119 Hillside Avenue
Auc Physical Therapy
Jamaica, NY 11432 - Phone
- (718) 400-7000
- NPI assigned
- Feb 2, 2024
- Last updated
- Feb 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022945 | NY | Primary |
Addresses
Primary practice location
17119 Hillside Avenue
Auc Physical Therapy
Jamaica, NY 11432
Mailing address
188 Kensington Ave
Norwood, NJ 07648-1706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022945 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motion Rehabilitation OT PC | Current | Accepting new patients | |
| Bishay Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| Garas Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| St.Thomas Physical Therapy,PC. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1780319137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1215790126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 KENSINGTON AVE",
"city": "NORWOOD",
"state": "NJ",
"postal_code": "076481706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17119 HILLSIDE AVENUE",
"address_2": "AUC PHYSICAL THERAPY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-400-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKHLA",
"first_name": "MOURAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.