Individual provider Active NPI

Adel Shalaby, DPT

  • Physical Therapist
  • Fresh Meadows, NY
National Provider Identifier
1497330393
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035749 Issued in NY
Practice address
6706E 186TH LN
Fresh Meadows, NY 11365-3683
Phone
(407) 668-6345
NPI assigned
Mar 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035749 NY Primary

Addresses

Primary practice location

6706E 186TH LN
Fresh Meadows, NY 11365-3683

Mailing address

6706E 186TH LN
Fresh Meadows, NY 11365-3683
Phone (407) 668-6345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210316001334 NY Practitioner - Physical Therapist in Private Practice 8729494810 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035749NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Mar 19, 2021 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Sep 19, 2024 Accepting new patients
Achieve at Home Physical Therapy PLLC Physical Therapist CurrentSince Nov 27, 2024 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Mar 12, 2021 Accepting new patients

Locations

616 Bedford Ave
Bellmore, NY 11710
Phone (516) 586-5533

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

800 E Gate Blvd
Garden City, NY 11530

1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1497330393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706E 186TH LN",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653683",
            "telephone_number": "407-668-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706E 186TH LN",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653683",
            "telephone_number": "407-668-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALABY",
        "first_name": "ADEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.