Organization Active NPI

New York Wellness PT PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1245707702
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEW YORK WELLNESS PT PC
Practice address
3040 Nostrand Ave
Brooklyn, NY 11229-1821
Phone
(347) 713-3479
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Ahmed Abdelaal
Title
PT
Phone
(347) 909-3632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3040 Nostrand Ave
Brooklyn, NY 11229-1821

Mailing address

172 92ND St
Brooklyn, NY 11209-6208

National Provider Directory

National Provider Directory

Locations

3040 Nostrand Ave
Brooklyn, NY 11229
Phone (347) 713-3479

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1245707702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291821",
            "telephone_number": "347-713-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK WELLNESS PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "ABDELAAL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "347-909-3632"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Nov 1, 2018; 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.