Active NPI
Atif Mohamed Abdou
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1467685446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 577 79TH St
Brooklyn, NY 11209-3709 - Phone
- (718) 496-8296
- NPI assigned
- Aug 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
577 79TH St
Brooklyn, NY 11209-3709
Mailing address
577 79TH Street
Brooklyn, NY 11209
Phone (718) 496-8296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2009.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1467685446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 79TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "718-496-8296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 79TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093709",
"telephone_number": "718-496-8296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDOU",
"first_name": "ATIF",
"middle_name": "MOHAMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-25",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": null,
"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 Aug 25, 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.