Omar Mohamed

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041863 Issued in NY

Practice address

1565 W 11TH St Apt 1R
Brooklyn, NY 11204-6245

Phone

(347) 577-3779

NPI assigned

Jun 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theradynamics Rehab PT, OT and SLP, PLLCGroup PAC ID 4082045802, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Theradynamics Rehab. PT, OT & SLP, PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1912463399

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Inclusive Physical Therapy

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1598645210
  NPD Authorized official
• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment
• Body Needs Physical Therapy PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1811501745
  Authorized official Same address or phone
• Revival Physical Therapy & Rehabilitation Services, PC

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1063741676
  NPD (past)

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1275157281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 W 11TH ST APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046245",
            "telephone_number": "347-577-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 W 11TH ST APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046245",
            "telephone_number": "347-577-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Elhafiz Abdelhaleem Elmamon Mohamed, M.D.
• Mohamed Haider Ahmed Mohamed, MBBS
• Mostafa Ahmed Abdelwahab Mohamed
• Nada K Mohamed
• Nagat Mohamed
• Omar Mohamed, DO
• Saara Mohamed
• Salah Eldin Mohamed, MD
• Salaheldin Mohamed, P.T
• Sara Mohamed

• 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 Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.