Individual provider Active NPI

Ahmed Mahmoud Tayee, PT PHD

  • Physical Therapist
  • Potsdam, NY
National Provider Identifier
1366192254
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048488-01 Issued in NY
Practice address
1202 Racquette Rd
Potsdam, NY 13676-1212
Phone
(315) 276-8443
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048488-01 NY Primary

Addresses

Primary practice location

1202 Racquette Rd
Potsdam, NY 13676-1212

Mailing address

1202 Racquette Rd
Potsdam, NY 13676-1212
Phone (315) 276-8443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228000611 NY Practitioner - Physical Therapist in Private Practice 8921478454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands of Hope PT P.C.Group PAC ID 8022323781, 16 clinicians

Practice addresses (Care Compare)

991 Morris Park Ave
Bronx, NY 10462-3794
Phone (718) 569-8662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
048488-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gramercy Park Physical Therapy PC CurrentSince Aug 1, 2022 Accepting new patients
Hands of Hope Comprehensive Medical Care PC CurrentSince Jan 1, 2025 Accepting new patients
Hands of Hope PT PC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

837 E 149th St
Bronx, NY 10455
Phone (718) 569-8662

991 Morris Park Ave
Bronx, NY 10462
Phone (718) 569-8662

11117A Queens Blvd
Forest Hills, NY 11375
Phone (347) 455-9142

500 Front St
Hempstead, NY 11550
Phone (516) 292-0800

366 N Broadway
Ste 413
Jericho, NY 11753
Phone (516) 433-4242

8003 211th St
Queens Vlg, NY 11427
Phone (718) 464-8948

1432 Hylan Blvd
Staten Island, NY 10305
Phone (718) 238-6161

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1366192254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 RACQUETTE RD",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761212",
            "telephone_number": "315-276-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 RACQUETTE RD",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761212",
            "telephone_number": "315-276-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYEE",
        "first_name": "AHMED",
        "middle_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "PT PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048488-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.