Active NPI
David Nonyelum Momah, PT
- Physical Therapist
- Bronxville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006102
- Practice address
- 1111 Midland Ave 1G
Bronxville, NY 10708-6337 - Phone
- (718) 210-6637
- Fax
- (678) 253-5914
- NPI assigned
- Dec 28, 2006
- Last updated
- Oct 6, 2015
- 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 | PT006102 | GA | Primary |
Addresses
Primary practice location
1111 Midland Ave 1G
Bronxville, NY 10708-6337
Mailing address
1100 Moccasin TRL
Loganville, GA 30052-4736
Phone (770) 602-1617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
955 Yonkers Ave
Suite B2
Yonkers, NY 10704-3062
Phone (877) 415-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013295 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delightful PT Services P. C. | Physical Therapist | Current | Accepting new patients |
| Therapeutic Maxipotent | Current | Accepting new patients | |
| Abbanna Health & Rehab Services PC | Physical Therapist | Past | Accepting new patients |
| Abbanna Health & Rehab Services P. C. | Physical Therapist | Past | Accepting new patients |
Locations
13015 Brown Bridge Rd
Ste 210
Covington, GA 30016
Phone (678) 342-6162
955 Yonkers Ave
Ste B2
Yonkers, NY 10704
Phone (877) 415-6700
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.
-
- Physical Therapist
- Yonkers, NY
- NPI 1528412152
-
- Physical Therapist
- Bronxville, NY
- NPI 1326411760
-
- Orthopedic Physical Therapist
- Bronxville, NY
- NPI 1518332410
-
- Physical Therapist
- Covington, GA
- NPI 1124184908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1609932474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MOCCASIN TRL",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300524736",
"telephone_number": "770-602-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MIDLAND AVE 1G",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107086337",
"telephone_number": "718-210-6637",
"fax_number": "678-253-5914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMAH",
"first_name": "DAVID",
"middle_name": "NONYELUM",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronxville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.