Direct PT Care PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032176 Issued in NY

Legal business name

DIRECT PT CARE PC

Practice address

2390 McDonald Ave
Brooklyn, NY 11223-4740

Phone

(718) 449-1005

Fax

(718) 449-1131

NPI assigned

Aug 23, 2010

Organization subpart

No

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

Authorized official

Name

Essam S Mostafa

Title

President

Phone

(718) 440-1005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1487960803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234740",
            "telephone_number": "718-449-1005",
            "fax_number": "718-449-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234740",
            "telephone_number": "718-449-1005",
            "fax_number": "718-449-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "MOSTAFA",
        "authorized_official_first_name": "ESSAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-440-1005"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.