Organization Active NPI

Core Wellness PT PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1326842154
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CORE WELLNESS PT PC
Practice address
7401 4TH Ave
Brooklyn, NY 11209-2555
Phone
(516) 250-7051
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Mohamed Alaaeldin Mohamed Sa Owieda, PTNPI 1790437937
Title
Owner
Phone
(347) 465-5675

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7401 4TH Ave
Brooklyn, NY 11209-2555

Mailing address

2922 Northern Blvd Apt 611
Long Island City, NY 11101-4083
Phone (516) 250-7051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250502000169 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012433048 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

585 Stewart Ave
Ste 300
Garden City, NY 11530
Phone (516) 250-7051

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1326842154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 NORTHERN BLVD APT 611",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014083",
            "telephone_number": "516-250-7051",
            "fax_number": "347-465-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092555",
            "telephone_number": "516-250-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE WELLNESS PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "OWIEDA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ALAAELDIN MOHAMED SA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-465-5675",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.