Individual provider Active NPI

Allan Ethan Magid, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1619858883
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054524 Issued in NY
Practice address
372 Avenue U Ste 1a
Brooklyn, NY 11223-4052
Phone
(718) 258-3300
NPI assigned
Sep 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054524 NY Primary

Addresses

Primary practice location

372 Avenue U Ste 1a
Brooklyn, NY 11223-4052

Mailing address

372 Avenue U Ste 1a
Brooklyn, NY 11223-4052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010001332 NY Practitioner - Physical Therapist in Private Practice 7214434612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3319 Ave N
Brooklyn, NY 11234-2605
Phone (718) 258-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054524NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Care Physical Therapy and Occupational Therapy, PLLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Bienetre Medical PC Physical Therapist Past Accepting new patients

Locations

550 5th Ave
Brooklyn, NY 11215
Phone (347) 384-2870

6161 Strickland Ave
Brooklyn, NY 11234
Phone (347) 894-1356

3319 Avenue N
Brooklyn, NY 11234
Phone (718) 258-3300

372 Avenue U
Ste 1A
Brooklyn, NY 11223
Phone (718) 258-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1619858883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 AVENUE U STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 AVENUE U STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234052",
            "telephone_number": "718-258-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGID",
        "first_name": "ALLAN",
        "middle_name": "ETHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054524",
            "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 Dec 4, 2025; 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.

Verify at the official NPI Registry.