New York Manual PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62 035897 Issued in NY

Legal business name

NEW YORK MANUAL PT PC

Practice address

172 92ND St
Brooklyn, NY 11209-6208

Phone

(646) 725-4026

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Islam HewidyNPI 1386188977

Title

Ceo

Phone

(646) 725-4026

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Islam Hewidy

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1386188977
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1396289997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096208",
            "telephone_number": "646-725-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK MANUAL PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "HEWIDY",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-725-4026"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 035897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.