NPIMap

Organization Active NPI

Magna Rehab Physical Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1609271998
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026817 Issued in NY
Legal business name
MAGNA REHAB PHYSICAL THERAPY PLLC
Practice address
2184 Flatbush Ave
Brooklyn, NY 11234-4326
Phone
(718) 676-4446
Fax
(646) 626-6401
NPI assigned
Oct 29, 2014
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Remonda Abdel-Shahid, PTNPI 1104859479
Title
Owener
Phone
(646) 427-0353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 026817 NY Primary

Addresses

Primary practice location

2184 Flatbush Ave
Brooklyn, NY 11234-4326

Mailing address

2912 Brighton 12TH St Ste 1
Brooklyn, NY 11235-4722
Phone (718) 975-4334

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1609271998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 BRIGHTON 12TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354722",
            "telephone_number": "718-975-4334",
            "fax_number": "718-975-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344326",
            "telephone_number": "718-676-4446",
            "fax_number": "646-626-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA REHAB PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "ABDEL-SHAHID",
        "authorized_official_first_name": "REMONDA",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "646-427-0353",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026817",
            "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 Oct 30, 2014; 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.