Active NPI
Barakat PT PC
- Physical Therapist
- Bronx, NY
National Provider Identifier
1508305020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 037498
- Legal business name
- BARAKAT PT PC
- Practice address
- 717 Southern Blvd
Bronx, NY 10455-2105 - Phone
- (347) 302-6045
- NPI assigned
- Feb 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amro Mahmoud Shokry Barakat, PT
- Title
- Owner PT
- Phone
- (347) 302-6045
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 037498 | NY | Primary |
Addresses
Primary practice location
717 Southern Blvd
Bronx, NY 10455-2105
Mailing address
717 Southern Blvd
Bronx, NY 10455-2105
Phone (347) 302-6045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
717 Southern Blvd
Bronx, NY 10455
Phone (347) 302-6045
2691 Hylan Blvd
Ste 7
Staten Island, NY 10306
Phone (347) 861-0288
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Physical Therapist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487203200000",
"number": "1508305020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 SOUTHERN BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104552105",
"telephone_number": "347-302-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 SOUTHERN BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104552105",
"telephone_number": "347-302-6045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARAKAT PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-16",
"last_updated": "2017-02-16",
"status": "A",
"authorized_official_last_name": "BARAKAT",
"authorized_official_first_name": "AMRO",
"authorized_official_middle_name": "MAHMOUD SHOKRY",
"authorized_official_title_or_position": "OWNER PT",
"authorized_official_telephone_number": "347-302-6045",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "037498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.