Individual provider Active NPI

Sameh Elias, R.P.T

  • Physical Therapist
  • Woodhaven, NY
National Provider Identifier
1376768507
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027596 Issued in NY
Practice address
9309 91St Ave
Suite B1
Woodhaven, NY 11421-2745
Phone
(917) 609-4373
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 027596 NY Primary

Addresses

Primary practice location

9309 91St Ave
Suite B1
Woodhaven, NY 11421-2745

Mailing address

939 68TH St
Brooklyn, NY 11219-5862
Phone (917) 609-4373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000144 NY Practitioner - Physical Therapist in Private Practice 0244374999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1763 Rockaway Pkwy
Brooklyn, NY 11236-5037
Phone (718) 444-5993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027596NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Fit Rehab Physical Therapy PC Physical Therapist CurrentSince Jul 26, 2011 Accepting new patients
Bensonhurst Mega Medical Care PC Past Accepting new patients
St. Pavly PT PC Physical Therapist Past Accepting new patients

Locations

1763 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 209-3940

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376768507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 68TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195862",
            "telephone_number": "917-609-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 91ST AVE",
            "address_2": "SUITE B1",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212745",
            "telephone_number": "917-609-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "SAMEH",
        "credential": "R.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.