Active NPI
Mahmoud Hassan
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1396105128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 037979
- Practice address
- 1100 Coney Island Ave
Brooklyn, NY 11230-2344 - Phone
- (718) 434-1012
- NPI assigned
- Mar 7, 2016
- Last updated
- Mar 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 037979 | NY | Primary |
Addresses
Primary practice location
1100 Coney Island Ave
Brooklyn, NY 11230-2344
Mailing address
63 73Rd St
Brooklyn, NY 11209-1903
Phone (929) 245-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physical Therapy Services PC | Physical Therapist | Current | Accepting new patients |
| Hand by Hand PT PC | Physical Therapist | Past | Accepting new patients |
Locations
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1184269755
-
- Physical Therapist
- Brooklyn, NY
- NPI 1447763982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1396105128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 73RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091903",
"telephone_number": "929-245-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112302344",
"telephone_number": "718-434-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MAHMOUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-07",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037979",
"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 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.