Individual provider Active NPI

Abdurrahman Abushady

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1235590563
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037701 Issued in NY
Practice address
96 28TH Ave
3Rd FL
Brooklyn, NY 11214-6807
Phone
(347) 210-7348
NPI assigned
Mar 15, 2016
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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 037701 NY Primary

Addresses

Primary practice location

96 28TH Ave
3Rd FL
Brooklyn, NY 11214-6807

Mailing address

96 28TH Ave
3Rd FL
Brooklyn, NY 11214-6807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170322000844 NY Practitioner - Physical Therapist in Private Practice 0941585525 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037701NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
L'Refuah Medical & Rehabilitation Center, Inc. CurrentSince Apr 27, 2017 Accepting new patients
L'Refuah Medical & Rehabilitation Center, Inc. CurrentSince Apr 27, 2017 Accepting new patients
L'Refuah Medical & Rehabilitation Center, Inc. Current Accepting new patients
Way to Rehab PT PC CurrentSince Jun 10, 2023 Accepting new patients
One Hand 1 Physical Therapy PC Physical Therapist PastSince Aug 18, 2019 Accepting new patients

Locations

1767 Southern Blvd
Bronx, NY 10460
Phone (718) 618-7558

1260 60th St
#78
Brooklyn, NY 11219
Phone (718) 741-7100

1312 38th St
Brooklyn, NY 11218
Phone (718) 686-2374

5110 19th Ave
Brooklyn, NY 11204
Phone (646) 725-4026

631 Foster Ave
Brooklyn, NY 11230
Phone (718) 369-8200

631 Foster Ave
Lowr
Brooklyn, NY 11230
Phone (347) 292-1027

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

Networks

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

Interoperability endpoints

  • Direct secure messaging: abdurrahman.abushady.p1@direct.ezramedical.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1235590563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 28TH AVE",
            "address_2": "3RD FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 28TH AVE",
            "address_2": "3RD FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146807",
            "telephone_number": "347-210-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUSHADY",
        "first_name": "ABDURRAHMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 15, 2016; 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.

Verify at the official NPI Registry.