Organization Active NPI

Brooklyn City Rehabilitation PT PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1346830056
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BROOKLYN CITY REHABILITATION PT PC
Practice address
596 Pennsylvania Ave
Brooklyn, NY 11207-6308
Phone
(646) 644-9980
Fax
(212) 722-9223
NPI assigned
Jan 26, 2021
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Alhassan AhmedNPI 1891289658
Title
DPT,MSC,PT
Phone
(646) 644-9980

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

596 Pennsylvania Ave
Brooklyn, NY 11207-6308

Mailing address

596 Pennsylvania Ave
Brooklyn, NY 11207-6308
Phone (646) 644-9980

Other practice location 1

18716 Hillside Ave
Jamaica, NY 11432-3216
Phone (646) 644-9980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422001207 NY Part B Supplier - Clinic/Group Practice 3971911488 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Floral Park, NY; Jamaica, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1346830056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112076308",
            "telephone_number": "646-644-9980",
            "fax_number": "212-722-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112076308",
            "telephone_number": "646-644-9980",
            "fax_number": "212-722-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18716 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114323216",
            "country_code": "US",
            "telephone_number": "646-644-9980",
            "fax_number": "212-722-9223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROOKLYN CITY REHABILITATION PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ALHASSAN",
        "authorized_official_title_or_position": "DPT,MSC,PT",
        "authorized_official_telephone_number": "646-644-9980",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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 Jun 5, 2024; 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.