Active NPI
Station Care PT PC
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1225796048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- STATION CARE PT PC
- Practice address
- 176 Wilson Ave # 11237
Brooklyn, NY 11237-4158 - Phone
- (929) 366-1143
- NPI assigned
- Nov 30, 2021
- Last updated
- Nov 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ibrahim Elshalaby
- Title
- Prisedent
- Phone
- (929) 366-1143
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
176 Wilson Ave # 11237
Brooklyn, NY 11237-4158
Mailing address
176 Wilson Ave # 11237
Brooklyn, NY 11237-4158
Phone (929) 366-1143
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://ebs.medicusoft.com/cases/ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1497364418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638230400000",
"number": "1225796048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 WILSON AVE # 11237",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374158",
"telephone_number": "929-366-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 WILSON AVE # 11237",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374158",
"telephone_number": "929-366-1143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATION CARE PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A",
"authorized_official_last_name": "ELSHALABY",
"authorized_official_first_name": "IBRAHIM",
"authorized_official_title_or_position": "PRISEDENT",
"authorized_official_telephone_number": "929-366-1143"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://ebs.medicusoft.com/cases/",
"affiliation": "N",
"address_1": "176 Wilson Ave # 11237",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112374158",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.