Wide City PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WIDE CITY PT PC

Practice address

4238 Bronx Blvd
Bronx, NY 10466-2670

Phone

(646) 644-3880

Fax

(212) 722-9223

NPI assigned

Mar 15, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Elhussein Ahmed, DPT, PT, MSC.NPI 1346823705

Title

Presidant

Phone

(646) 644-3880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elhussein Ahmed, PT, MSC

  • Physical Therapist
  • Bronx, NY
  • NPI 1346823705
  Medicare reassignment NPD Authorized official
• Queen Abigail Magbanua Septimo, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1952263980
  NPD

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1497555874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY APT 17E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358355",
            "telephone_number": "646-644-3880",
            "fax_number": "212-722-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 BRONX BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662670",
            "telephone_number": "646-644-3880",
            "fax_number": "212-722-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2685 Grand Concourse Apt 1F",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104683710",
            "country_code": "US",
            "telephone_number": "646-644-3880",
            "fax_number": "212-722-9223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIDE CITY PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ELHUSSEIN",
        "authorized_official_title_or_position": "PRESIDANT",
        "authorized_official_telephone_number": "646-644-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, PT, MSC."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Wiafe
• Helene Wicentowski, DPT
• Stefhanie Kristine Wickline, LMSW
• Priyan Wickremesinghe
• Lydia Wicks, NURSE
• David Widjaja, MD
• Juliet Widoff
• Srie Widuri
• Adinah Wieder
• Matthew S Wieder, MD

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.