NPIMap

Organization Active NPI

Aqua Physical Therapy P.C

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1356672174
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AQUA PHYSICAL THERAPY P.C
Practice address
581 5TH Ave
Brooklyn, NY 11215-8407
Phone
(718) 965-0555
Fax
(718) 965-0558
NPI assigned
Jan 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Dr. Bayomy MoustafaNPI 1528019197
Title
Doctor
Phone
(917) 886-7569

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

581 5TH Ave
Brooklyn, NY 11215-8407

Mailing address

581 5TH Ave
Brooklyn, NY 11215-8407
Phone (718) 965-0555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1356672174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112158407",
            "telephone_number": "718-965-0555",
            "fax_number": "718-965-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112158407",
            "telephone_number": "718-965-0555",
            "fax_number": "718-965-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA PHYSICAL THERAPY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "MOUSTAFA",
        "authorized_official_first_name": "BAYOMY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "917-886-7569",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "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 Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.