Phoenix Physical Therapy Rehabilitation, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035548 Issued in NY

Legal business name

PHOENIX PHYSICAL THERAPY REHABILITATION, PLLC

Practice address

7510 4TH Ave
Ste# 3
Brooklyn, NY 11209-3244

Phone

(347) 733-1916

Fax

(929) 292-2329

NPI assigned

Jun 2, 2016

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antonious Beshet, PTNPI 1215272802

Title

Physical Therapist

Phone

(347) 733-1916

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antonious Samir Beshet

  • Physical Medicine & Rehabilitation Physician
  • Rosedale, NY
  • NPI 1215272802

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Kirolos Ezzat Labib Sr., PT

  • Physical Therapist
  • Rosedale, NY
  • NPI 1821498742
  Medicare reassignment NPD
• Mary Ezzat Youssef

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1962850511
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1518315274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 4TH AVE",
            "address_2": "STE# 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093244",
            "telephone_number": "347-733-1916",
            "fax_number": "929-292-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 4TH AVE",
            "address_2": "STE# 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093244",
            "telephone_number": "347-733-1916",
            "fax_number": "929-292-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "BESHET",
        "authorized_official_first_name": "ANTONIOUS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-733-1916",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037286",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037502",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Phipps-Johnson, RN
• Graciela E. Phlatts, RN
• Raylin Phlegm
• Phobia Lifeline Psychological Services, Inc.
• Phoenix Medical Center Inc
• Cheryl B Phoenix
• Nikisha Renesha Phoenix, RN
• Octavia Phoenix
• Sarah Phoenix
• Sarabjit Singh Phokela, MD

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 30, 2024; 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.