Individual provider Active NPI

Mahmoud Soloma, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1588307367
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044822 Issued in NY
Practice address
3364 Nostrand Ave
Brooklyn, NY 11229-4004
Phone
(347) 302-6045
Fax
(347) 861-0088
NPI assigned
Apr 19, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 044822 NY Primary

Addresses

Primary practice location

3364 Nostrand Ave
Brooklyn, NY 11229-4004

Mailing address

8724 16TH Ave
Brooklyn, NY 11214-4526
Phone (929) 502-8523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044822NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
American Planet Physical Therapy PC Current Accepting new patients
Barakat PT PC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients

Locations

3364 Nostrand Ave
Brooklyn, NY 11229
Phone (347) 570-5348

2691 Hylan Blvd
Ste 7
Staten Island, NY 10306
Phone (347) 861-0288

Organizations & group practices 5

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1588307367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8724 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144526",
            "telephone_number": "929-502-8523",
            "fax_number": "347-861-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294004",
            "telephone_number": "347-302-6045",
            "fax_number": "347-861-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMA",
        "first_name": "MAHMOUD",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.