Islam Abdallah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052610 Issued in NY

Practice address

798 Southern Blvd
Bronx, NY 10455-2115

Phone

(718) 648-0888

Fax

(855) 955-3899

NPI assigned

Aug 20, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Therapy of the City PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1265940399

  Physical Therapist

  Medicare reassignment NPD
• Madison Physical Therapy

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1275520918
  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1396578027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8746 20TH AVE # L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144802",
            "telephone_number": "718-648-0888",
            "fax_number": "855-955-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552115",
            "telephone_number": "718-648-0888",
            "fax_number": "855-955-3899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8746 20th Ave # L",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112144802",
            "country_code": "US",
            "telephone_number": "718-648-0888",
            "fax_number": "855-955-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDALLAH",
        "first_name": "ISLAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abc Mental Health Counseling PLLC
• Abc Mental Health Counseling PLLC
• Kemal Adem Abda, MD
• Soindos Abdah
• Adam Abdallah
• Abdel Chemists 2 Inc (stv chemists 2)
• Abdel Chemists Inc. (STV Chemists)
• Nidal Abdel Muhdi
• Yousif Abdel-Jawad, M.D.
• Nourhan Abdel-Rahim, D.M.D

• Physical Therapist in Bronx, NY
• Providers in Bronx, 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 Aug 26, 2024; 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.