Active NPI
Adam Mustafa Rizk, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1609396977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041605
- Practice address
- 1611 E New York Ave
Brooklyn, NY 11212-6860 - Phone
- (718) 566-0022
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041605 | NY | Primary |
Addresses
Primary practice location
1611 E New York Ave
Brooklyn, NY 11212-6860
Mailing address
96 28TH Ave Apt 3
Brooklyn, NY 11214-7064
Phone (407) 848-9693
Other names 1
- Mahmoud Mustafa Rizk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041605 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physical Therapy Services PC | Single Specialty | Current | Accepting new patients |
| Yk Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Ar Rehab PT PC | Current | Accepting new patients |
Locations
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1265072631
-
- Physical Therapy Clinic/Center
- Rosedale, NY
- NPI 1508552639
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1588320097
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1609396977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 28TH AVE APT 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112147064",
"telephone_number": "407-848-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 E NEW YORK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112126860",
"telephone_number": "718-566-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZK",
"first_name": "ADAM",
"middle_name": "MUSTAFA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "041605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAHMOUD",
"last_name": "RIZK",
"middle_name": "MUSTAFA",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 13, 2020; 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.