Organization Active NPI

Station Care PT PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1225796048
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Ibrahim ElshalabyNPI 1497364418
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
SOAP URL https://ebs.medicusoft.com/cases/

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.