Individual provider Active NPI

Ahmed Fekry Mahmoud, PT

  • Physical Therapist
  • Breezy Point, NY
National Provider Identifier
1396948675
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018417 Issued in NY
Practice address
20408 Rockaway Point Blvd Ste North
Breezy Point, NY 11697-1116
Phone
(718) 634-7878
Fax
(718) 634-7879
NPI assigned
Jun 6, 2007
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 018417 NY Primary

Addresses

Primary practice location

20408 Rockaway Point Blvd Ste North
Breezy Point, NY 11697-1116

Mailing address

PO Box 940068
Rockaway Park, NY 11694-0068
Phone (718) 634-7878

Other identifiers 1

IdentifierTypeStateIssuer
02638580MedicaidNY

Other names 1

  • Ahmed F Mahmoud Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504001742 NY Practitioner - Physical Therapist in Private Practice 8426046780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11412 Beach Channel Dr
Suite 6
Rockaway Park, NY 11694-2215
Phone (917) 573-4309

204 -08 Rockaway Point Blvd
N Suite
Breezypoint, NY 11697-1115
Phone (917) 573-4309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Quality P.T P.C Physical Therapist CurrentSince Jan 30, 2012 Accepting new patients
Breezy Point Physical Therapy PC Physical Therapist CurrentSince Sep 2, 2004 Accepting new patients
Prime Care Medical of Brighton PC PastSince Jul 13, 2009 Accepting new patients
Cardiology Solutions, PLLC Past Accepting new patients

Locations

11403 Beach Channel Dr
Rockaway Park, NY 11694
Phone (347) 230-4098

11412 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 318-6021

11412 Beach Channel Dr
Ste 6
Rockaway Park, NY 11694
Phone (718) 945-7878

20408 Rockaway Point Blvd
Rockaway Point, NY 11697
Phone (646) 421-6064

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ahmedmahmaud.fekry@iclhcc.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1396948675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940068",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116940068",
            "telephone_number": "718-634-7878",
            "fax_number": "718-634-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20408 ROCKAWAY POINT BLVD STE NORTH",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971116",
            "telephone_number": "718-634-7878",
            "fax_number": "718-634-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "AHMED",
        "middle_name": "FEKRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638580",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHMED",
            "last_name": "MAHMOUD",
            "middle_name": "F",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Breezy Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.