Active NPI
Wisdom Physical Therapy PC
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1386915643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WISDOM PHYSICAL THERAPY PC
- Practice address
- 200 Bay 49TH St
Ste 3
Brooklyn, NY 11214-7202 - Phone
- (718) 480-6794
- NPI assigned
- Jan 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hatem El-Said Abou-Hassan, PT
- Title
- President
- Phone
- (718) 480-6794
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
200 Bay 49TH St
Ste 3
Brooklyn, NY 11214-7202
Mailing address
200 Bay 49TH St
Ste 3
Brooklyn, NY 11214-7202
Phone (718) 480-6794
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326931200000",
"number": "1386915643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BAY 49TH ST",
"address_2": "STE 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112147202",
"telephone_number": "718-480-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BAY 49TH ST",
"address_2": "STE 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112147202",
"telephone_number": "718-480-6794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISDOM PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A",
"authorized_official_last_name": "ABOU-HASSAN",
"authorized_official_first_name": "HATEM",
"authorized_official_middle_name": "EL-SAID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-480-6794",
"authorized_official_credential": "PT"
},
"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 Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.