Individual provider Active NPI

Mohamed Elsayed Khalil

  • Physical Therapist
  • Richmond Hill, NY
National Provider Identifier
1285318865
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049715 Issued in NY
Practice address
107-02 R Jamaica Ave
Richmond Hill, NY 11418
Phone
(347) 829-3890
Fax
(347) 829-3888
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 049715 NY Primary

Addresses

Primary practice location

107-02 R Jamaica Ave
Richmond Hill, NY 11418

Mailing address

107-02 R Jamaica Ave
Richmond Hill, NY 11418
Phone (347) 829-3890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015004742 NY Practitioner - Physical Therapist in Private Practice 3476040163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Road to Recovery Physical Therapy, P.C.Group PAC ID 8022295096, 22 clinicians

Practice addresses (Care Compare)

535 Flushing Ave
Brooklyn, NY 11205-1610
Phone (781) 488-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049715NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Care PT PC Physical Therapist CurrentSince Jun 18, 2023 Accepting new patients
Road to Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

1270 44th St
Ste 1
Brooklyn, NY 11219
Phone (718) 840-3399

535 Flushing Ave
Brooklyn, NY 11205
Phone (781) 488-7272

10702 Jamaica Ave
#R
Richmond Hill, NY 11418
Phone (347) 829-3840

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1285318865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107-02 R JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "347-829-3890",
            "fax_number": "347-829-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107-02 R JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "347-829-3890",
            "fax_number": "347-829-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MOHAMED",
        "middle_name": "ELSAYED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.