Individual provider Active NPI

Salaheldin Mohamed, P.T

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1407923378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012734-1 Issued in NY
Practice address
2848 Church Ave
Brooklyn, NY 11226-4106
Phone
(718) 941-2200
Fax
(718) 703-0872
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 012734-1 NY Primary

Addresses

Primary practice location

2848 Church Ave
Brooklyn, NY 11226-4106

Mailing address

2848 Church Ave
Brooklyn, NY 11226-4106
Phone (718) 941-2200

Other identifiers 1

IdentifierTypeStateIssuer
01743113MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012734NYMDClinical Psychologist
012734-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Medical Practice P.C Past Accepting new patients
Liberty Medicine & Rehab. Past Accepting new patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407923378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264106",
            "telephone_number": "718-941-2200",
            "fax_number": "718-703-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264106",
            "telephone_number": "718-941-2200",
            "fax_number": "718-703-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "SALAHELDIN",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012734-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01743113",
            "state": "NY"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.