Park Slope Rehab Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014472 Issued in NY

Legal business name

PARK SLOPE REHAB PHYSICAL THERAPY

Practice address

557 5TH Ave
Brooklyn, NY 11215-5431

Phone

(718) 768-3349

Fax

(718) 768-7269

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Bayomy Moustafa, P.T.

Title

Physical Therapist

Phone

(718) 768-3349

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1447584016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281101",
            "telephone_number": "718-630-1290",
            "fax_number": "718-630-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155431",
            "telephone_number": "718-768-3349",
            "fax_number": "718-768-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SLOPE REHAB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MOUSTAFA",
        "authorized_official_first_name": "BAYOMY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-768-3349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014472",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014080",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0148911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Slope Physician Services PC
• Park Slope Physician Services PC
• Park Slope Podiatry, PC
• Park Slope Professional Psychological Services PC
• Park Slope Psychological Services, LLC
• Park Slope Solutions LLC (GYMGUYZ Park Slope)
• Park Slope Specialized Services LLC
• Park Slope Volunteer Ambulance Corps Inc
• Park Sports Physical Therapy and Park Slope Occupational Therapy PLLC (park sports physical therapy and hand rehabilitation)
• Park Sports Physical Therapy and Park Slope Occupational Therapy, PLLC

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.