NPIMap

Organization Active NPI

Wisdom Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1386915643
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Hatem El-Said Abou-Hassan, PTNPI 1700017282
Title
President
Phone
(718) 480-6794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 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, 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": "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.

Verify at the official NPI Registry.