NPIMap

Organization Active NPI

Vital Mobility Rehab PT PC

  • Orthopedic Physical Therapist
  • Jamaica, NY
National Provider Identifier
1255293155
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
VITAL MOBILITY REHAB PT PC
Practice address
18919 Linden Blvd
Jamaica, NY 11412-3344
Phone
(347) 459-8493
NPI assigned
Nov 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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

Authorized official

Name
Ahmed Ghanem, PTNPI 1912375163
Title
President
Phone
(347) 459-8493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

18919 Linden Blvd
Jamaica, NY 11412-3344

Mailing address

412 Prospect Ave
Dumont, NJ 07628-1404
Phone (347) 459-8493

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.

NPI Registry JSON

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

{
    "created_epoch": "1764374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764374400000",
    "number": "1255293155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PROSPECT AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281404",
            "telephone_number": "347-459-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18919 LINDEN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114123344",
            "telephone_number": "347-459-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MOBILITY REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-29",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-459-8493",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2025; 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.