NPIMap

Organization Active NPI

Crestwater Physical Therapy

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1487039905
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021464-1 Issued in NY
Legal business name
CRESTWATER PHYSICAL THERAPY
Practice address
7129 5TH Ave
Brooklyn, NY 11209-1678
Phone
(718) 745-1313
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Mai Abdalla, DPTNPI 1245261916
Title
Owner
Phone
(718) 745-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 021464-1 NY Primary

Addresses

Primary practice location

7129 5TH Ave
Brooklyn, NY 11209-1678

Mailing address

7129 5TH Ave
Brooklyn, NY 11209-1678
Phone (718) 745-1313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1487039905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7129 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091678",
            "telephone_number": "718-745-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7129 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091678",
            "telephone_number": "718-745-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWATER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-745-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "021464-1",
            "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 Jul 27, 2015; 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.