Individual provider Active NPI

Ahmad Abd-Almonum, PT

  • Physical Therapist
  • Fogelsville, PA
National Provider Identifier
1528599636
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039721 Issued in NY
Practice address
2151 Seipstown Rd
Fogelsville, PA 18051-2022
Phone
(646) 389-1177
Fax
(347) 343-5568
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 039721 NY Primary

Addresses

Primary practice location

2151 Seipstown Rd
Fogelsville, PA 18051-2022

Mailing address

7322 Bay Pkwy Apt B5
Brooklyn, NY 11204-6035
Phone (917) 808-5482

Other practice location 1

7322 Bay Pkwy Apt B5
Brooklyn, NY 11204-6035
Phone (917) 808-5482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190222001410 NY Practitioner - Physical Therapist in Private Practice 2769721521 Reassigns benefits to 6 organizations
I20251027001651 PA Practitioner - Physical Therapist in Private Practice 2769721521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2151 Seipstown Rd
Fogelsville, PA 18051-2022
Phone (646) 389-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039721NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Shield of David, Inc. CurrentSince Dec 26, 2019 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Nov 5, 2023 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Apr 23, 2019 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Dec 5, 2023 Accepting new patients
Dynamic Moves Physical Therapy PC Physical Therapist CurrentSince Jun 12, 2020 Accepting new patients
Dynamic Moves Physical Therapy, P.C. Physical Therapist CurrentSince Jun 12, 2020 Accepting new patients
Moon Rehab PT PC Physical Therapist CurrentSince Feb 11, 2019 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist PastSince Jul 5, 2023 Accepting new patients

Locations

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

1042 38th St
Brooklyn, NY 11219
Phone (718) 854-2747

540 Court St
Brooklyn, NY 11231
Phone (347) 832-5080

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

7402 Grand Ave
Ste 3B
Elmhurst, NY 11373
Phone (917) 369-1017

14461 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-1534

Interoperability endpoints

  • Direct secure messaging: ahmad.abdalmonum.p1@direct.ezramedical.nextgenshare.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1528599636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 BAY PKWY APT B5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046035",
            "telephone_number": "917-808-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 SEIPSTOWN RD",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180512022",
            "telephone_number": "646-389-1177",
            "fax_number": "347-343-5568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7322 Bay Pkwy Apt B5",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112046035",
            "country_code": "US",
            "telephone_number": "917-808-5482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABD-ALMONUM",
        "first_name": "AHMAD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fogelsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.