Mohamed Ali Ahmed Elsayed
Individual provider Active NPI Physical Therapist · Brooklyn,Ny, NY
NPI 1215815907 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1215815907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 054702 (NY)
- Practice address
- 1461 Shore Parkway
Apartment 2G
Brooklyn,Ny, NY 11214-6129 - Phone
- (929) 787-5346
- NPI assigned
- Aug 22, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054702 | NY | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | 054702 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 054702 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 054702 | NY | |
| Physical Therapist | 225100000X | 054702 | NY | Yes |
Addresses
Primary practice location
1461 Shore Parkway
Apartment 2G
Brooklyn,Ny, NY 11214-6129
Mailing address
1461 Shore Pkwy
Brooklyn, NY 11214-6146
Phone (929) 787-5346
Other providers in Brooklyn,Ny, NY
- Mark Abayev
- Rabia Aggarwal
- Yonathan Aliye Asfaw
- Tanvi Amish Dalal
- Marcus Engram
- Sarah Parnes
- Vivian Stanford Thompson
- Renee Claresa Wilson
All providers in Brooklyn,Ny, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.