Organization Active NPI

Rwan PT PC

  • Physical Therapist
  • Whitestone, NY
National Provider Identifier
1427423045
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RWAN PT PC
Practice address
1752 Francis Lewis Blvd
Whitestone, NY 11357
Phone
(917) 816-7459
Fax
(718) 746-4963
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Ahmed Mahmoud Abdelhady, DPT
Title
DPT
Phone
(917) 816-7459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1752 Francis Lewis Blvd
Whitestone, NY 11357

Mailing address

46 Croft PL
Staten Island, NY 10314-6508
Phone (917) 816-7459

National Provider Directory

National Provider Directory

Locations

4300 Hylan Blvd
Ste 1BC
Staten Island, NY 10312
Phone (718) 481-2020

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1427423045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CROFT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146508",
            "telephone_number": "917-816-7459",
            "fax_number": "718-442-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 FRANCIS LEWIS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "11357",
            "telephone_number": "917-816-7459",
            "fax_number": "718-746-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWAN PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "ABDELHADY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "917-816-7459",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.