Organization Active NPI

Italy Rehab PT PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1427563287
Registry record updated Dec 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
039800 Issued in NY
Legal business name
ITALY REHAB PT PC
Practice address
235 Wyckoff Ave
Brooklyn, NY 11237-5303
Phone
(718) 418-4700
Fax
(718) 418-7575
NPI assigned
Dec 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2017

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

Authorized official

Name
Dr. Hossameldin Salem PT, DPT
Title
Doctor of Physical Therapy
Phone
(347) 909-8074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 039800 NY Primary

Addresses

Primary practice location

235 Wyckoff Ave
Brooklyn, NY 11237-5303

Mailing address

186 Bay 31St St Apt 1B
Brooklyn, NY 11214-5646
Phone (347) 909-8074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929002352 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931528684 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

870 59th St
Fl 1
Brooklyn, NY 11220

1213 Avenue U
Brooklyn, NY 11229

8031 Broadway
Elmhurst, NY 11373
Phone (718) 418-4700

3704 91st St
Ste B
Jackson Heights, NY 11372

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512172800000",
    "number": "1427563287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BAY 31ST ST APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145646",
            "telephone_number": "347-909-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WYCKOFF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375303",
            "telephone_number": "718-418-4700",
            "fax_number": "718-418-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITALY REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-02",
        "last_updated": "2017-12-02",
        "status": "A",
        "authorized_official_last_name": "SALEM PT",
        "authorized_official_first_name": "HOSSAMELDIN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "347-909-8074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "039800",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 2, 2017; 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.