Active NPI
Mennatallah Barakat
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1609559475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045670
- Practice address
- 3311 Shore Pwky Apt FF,
Brooklyn, NY 11235-3937 - Phone
- (718) 648-0888
- Fax
- (855) 955-3899
- NPI assigned
- Aug 9, 2023
- Sex
- Female
- 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 | 045670 | NY | Primary |
Addresses
Primary practice location
3311 Shore Pwky Apt FF,
Brooklyn, NY 11235-3937
Mailing address
8746 20TH Ave # 1L
Brooklyn, NY 11214-4802
Phone (718) 648-0888
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 |
|---|---|---|---|
| 045670 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienetre Medical PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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 Therapy Clinic/Center
- Brooklyn, NY
- NPI 1265940399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1609559475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8746 20TH AVE # 1L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144802",
"telephone_number": "718-648-0888",
"fax_number": "855-955-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 SHORE PWKY APT FF,",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353937",
"telephone_number": "718-648-0888",
"fax_number": "855-955-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAKAT",
"first_name": "MENNATALLAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045670",
"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 Nov 14, 2023; 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.