Individual provider Active NPI

Mohamed Abdelnabi, OTR/L

  • Occupational Therapist
  • Flushing, NY
National Provider Identifier
1497537401
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
028160-01 Issued in NY
Practice address
6180 Woodhaven Blvd
Flushing, NY 11374-2742
Phone
(718) 446-4300
NPI assigned
Oct 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 028160-01 NY Primary

Addresses

Primary practice location

6180 Woodhaven Blvd
Flushing, NY 11374-2742

Mailing address

9707 Horace Harding Expy Apt 15J
Corona, NY 11368-4132
Phone (347) 445-5099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027002177 NY Practitioner - Occupational Therapist in Private Practice 5890141725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agu OT PCGroup PAC ID 2365917960, 9 clinicians
Ats Rehab OT and PT and SLP PLLCGroup PAC ID 2567734452, 39 clinicians

Practice addresses (Care Compare)

10030 Ditmars Blvd
East Elmhurst, NY 11369-1333
Phone (732) 399-9700

10825 Horace Harding Expy
Corona, NY 11368-4532
Phone (732) 399-9700

6180 Woodhaven Blvd
Rego Park, NY 11374-2742
Phone (732) 399-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028160-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ats Rehab OT & PT & SLP PLLC Occupational Therapist CurrentSince Sep 17, 2023 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

6180 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 446-4300

Organizations & group practices 2

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1497537401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 HORACE HARDING EXPY APT 15J",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684132",
            "telephone_number": "347-445-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 WOODHAVEN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113742742",
            "telephone_number": "718-446-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELNABI",
        "first_name": "MOHAMED",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028160-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.