Individual provider Active NPI

Momina Arif

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1457114233
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
051454 Issued in NU
Practice address
8810 Ave J
Brooklyn, NY 11236
Phone
(469) 793-3381
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 051454 NU Primary

Addresses

Primary practice location

8810 Ave J
Brooklyn, NY 11236

Mailing address

5721 Gulfton St Apt 2577
Houston, TX 77081-7607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240507004207 NY Practitioner - Physical Therapist in Private Practice 6709227853 Reassigns benefits to 5 organizations
I20250722004449 TX Practitioner - Physical Therapist in Private Practice 6709227853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Therapy, PCGroup PAC ID 6507831773, 14 clinicians

Practice addresses (Care Compare)

3634 Glenn Lakes LN
Suite 130
Missouri City, TX 77459-3695
Phone (713) 518-1805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051454NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of the City PC CurrentSince Jun 1, 2024 Accepting new patients
Sensory Freeway Therapy Services OT, PT and SLP, PLLC CurrentSince Sep 1, 2026 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Mar 30, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 31, 2024 Accepting new patients
Advance Therapy PC CurrentSince Apr 11, 2025 Accepting new patients
Shakespeare Operating LLC CurrentSince Mar 31, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 31, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Mar 31, 2024 Accepting new patients
Madison Physical Therapy PastSince May 23, 2019 Accepting new patients
Advance Therapy PC Past Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

3700 Cross Park Dr
Bryan, TX 77802
Phone (979) 774-9958

3634 Glenn Lakes Ln
Ste 130
Missouri City, TX 77459
Phone (713) 518-1805

16701 Creek Bend Dr
Ste 100
Sugar Land, TX 77478
Phone (248) 403-1730

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1457114233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 GULFTON ST APT 2577",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770817607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 AVE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "469-793-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIF",
        "first_name": "MOMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": "051454",
            "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 Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.