Organization Active NPI

Northway Physical Therapy PC

  • Physical Therapist
  • Yonkers, NY
National Provider Identifier
1285804443
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024084 Issued in NY
Legal business name
NORTHWAY PHYSICAL THERAPY PC
Practice address
944 North Broadway
Suite G-02
Yonkers, NY 10701
Phone
(914) 375-5605
Fax
(914) 375-5405
NPI assigned
Mar 4, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mr. Hussein Mahmoud Ahmad, PT MSNPI 1912947508
Title
Director Owner
Phone
(917) 549-0976

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
Physical Therapist 225100000X 024084 NY Primary

Addresses

Primary practice location

944 North Broadway
Suite G-02
Yonkers, NY 10701

Mailing address

944 North Broadway
Suite G-02
Yonkers, NY 10701
Phone (914) 375-5605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000483 NY Part B Supplier - Clinic/Group Practice 8729165725 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Yonkers, NY

National Provider Directory

National Provider Directory

Locations

8014 3rd Ave
Brooklyn, NY 11209
Phone (305) 720-6930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1285804443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 NORTH BROADWAY",
            "address_2": "SUITE G-02",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-375-5605",
            "fax_number": "914-375-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 NORTH BROADWAY",
            "address_2": "SUITE G-02",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-375-5605",
            "fax_number": "914-375-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWAY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "917-549-0976",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.