NPIMap

Organization Active NPI

Mission Rehab PT PC

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1619256054
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
030625 Issued in NY
Legal business name
MISSION REHAB PT PC
Practice address
4256-2 Bronx Blvd
Bronx, NY 10466
Phone
(718) 708-7007
Fax
(718) 708-7004
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Dr. Nabil Mahmoud Abdel-Aal, DPT
Title
President
Phone
(347) 692-5949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 030625 NY Primary

Addresses

Primary practice location

4256-2 Bronx Blvd
Bronx, NY 10466

Mailing address

6802 Ridge Blvd, Apt # 4M
Brooklyn, NY 11220
Phone (718) 238-1562

National Provider Directory

National Provider Directory

Locations

4256 Bronx Blvd
#2
Bronx, NY 10466
Phone (718) 708-7007

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1619256054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 RIDGE BLVD, APT # 4M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-238-1562",
            "fax_number": "718-238-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256-2 BRONX BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "718-708-7007",
            "fax_number": "718-708-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "ABDEL-AAL",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-692-5949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "030625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.