Magdy Elmadboly, L.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014113 Issued in NY

Practice address

7601 Fifth Avenue
Brooklyn, NY 11209

Phone

(718) 748-9624

NPI assigned

Mar 16, 2007

Last updated

Aug 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richmond Road Physical Therapy PC

  • Physical Therapist
  • Staten Island, NY
  • NPI 1245563105
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1265556351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COLONIAL GARDENS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-344-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 FIFTH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-748-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMADBOLY",
        "first_name": "MAGDY",
        "credential": "L.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014113",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001884-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elm Pharmacy, Inc.
• Elm Pharmacy, Inc. (Elm Pharmacy)
• Elm Urology Associates, P.C.
• Elma Medical Supplies LLC
• Khaled Mohamed Elmaadawy, LCSW
• Shereen Elmaghrabi, MD
• Mohamed H. Elmahdy, PT
• Nader Mohamed Elmakwey, P.T
• Chaya Elmaleh
• Sarah Elmaleh

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.