Mahmoud Elkalyobi, PHYSICAL THERAPIST
Individual provider Active NPI Orthopedic Physical Therapist · Danbury, CT
NPI 1326437013 · NPPES record last updated Jan 18, 2015
Key facts
- NPI
- 1326437013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 005491 (CT)
- Practice address
- 19 2ND Ave
Danbury, CT 06810-5614 - Phone
- (203) 930-0539
- NPI assigned
- Jan 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150312001931 | CT | Practitioner - Physical Therapist in Private Practice | 1254657059 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005491 | CT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In-Home Physical Therapy Service LLC | Orthopedic | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 005491 | CT | Yes |
Addresses
Primary practice location
19 2ND Ave
Danbury, CT 06810-5614
Mailing address
19 2ND Ave
Danbury, CT 06810-5614
Phone (203) 930-0539
Other providers in Danbury, CT
- Elder Crew LLC
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- Mohamad Elgozair
- Elite Brain & Spine of Connecticut, PLLC
- Jessica Elizondo
- Darren D Ellison
- Susan C Emerson
- Encompass Health Rehabilitation Hospital of Danbury, LLC
- Enhance Psychotherapy
- Epitome Residential Care Homes LLC
All providers in Danbury, CT · Orthopedic Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.