Khaled Elasmar, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018156 Issued in NY

Practice address

32 Wilton CT
Staten Island, NY 10305-3866

Phone

(917) 873-3844

Fax

(718) 727-0614

NPI assigned

Feb 13, 2008

Last updated

Feb 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Homeside Rehab, PT, OT, SLP LLC

  • Physical Therapy Clinic/Center
  • Monsey, NY
  • NPI 1023258431

  Physical Therapist

  Medicare reassignment NPD
• Visiting Rehab PT OT SLP PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1134747884
  Medicare reassignment NPD

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1467620385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WILTON CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053866",
            "telephone_number": "917-873-3844",
            "fax_number": "718-727-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WILTON CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053866",
            "telephone_number": "917-873-3844",
            "fax_number": "718-727-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELASMAR",
        "first_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Shnitkind MD P.C.
• Faisal Elali
• Manoj Varughese Elamthottathil, PHYSICAL THERAPIST
• Elangovan Psychiatric Services PLLC
• Shashi Elangovan
• Linda Elassad, LCSW
• Amna Elayan
• Heidi Elbrolossey
• Adnan Elcharfa
• Abdelrahman Mahmoud Eldeeb, PTA

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, 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 Feb 13, 2008; 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.