Ahmed Fekry Mahmoud, PT
Individual provider Active NPI Physical Therapist · Breezy Point, NY
NPI 1396948675 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1396948675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 018417 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040504001742 | NY | Practitioner - Physical Therapist in Private Practice | 8426046780 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Quality P.T P.C | Physical Therapist | Current |
Accepting new patients |
| Breezy Point Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Cardiology Solutions, PLLC | Past | Accepting new patients | |
| Prime Care Medical of Brighton PC | Past |
Accepting new patients |
Locations
11403 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 945-7878
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 H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ahmedmahmaud.fekry@iclhcc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018417 | NY | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02638580 | Medicaid | NY |
Other names
- Ahmed F Mahmoud
Other providers in Breezy Point, NY
- Megan Elizabeth Holihan
- Kaminer Dentistry PLLC
- Caroline Ann Kane
- Jonathan Elliott Lewis
- Life Quality P.T P.C
- Kaylyn McDonald
- Anne Theresa McGowan Bresnahan
- Linda Ann McLoughlin
- Cristen McNamee
- Catherine Meyers
All providers in Breezy Point, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.