Individual provider Active NPI

Mohamed Hassan Ali Attya

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1629100987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027668 Issued in NY
Practice address
2542 Cropsey Ave FL 3
Brooklyn, NY 11214-6604
Phone
(347) 679-0209
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 027668 NY Primary

Addresses

Primary practice location

2542 Cropsey Ave FL 3
Brooklyn, NY 11214-6604

Mailing address

2542 Cropsey Ave FL 3
Brooklyn, NY 11214-6604
Phone (347) 679-0209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000672 NY Practitioner - Physical Therapist in Private Practice 3678752979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attia Rehabilitation PT PCGroup PAC ID 0547674160, 6 clinicians

Practice addresses (Care Compare)

3052 Brighton 1St St
Suite 502
Brooklyn, NY 11235-8088
Phone (646) 641-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027668NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Janaa Physical Therapy PC Physical Therapist PastSince May 22, 2006 Accepting new patients
Coney Island Medical Services PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629100987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 CROPSEY AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146604",
            "telephone_number": "347-679-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 CROPSEY AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146604",
            "telephone_number": "347-679-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTYA",
        "first_name": "MOHAMED",
        "middle_name": "HASSAN ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027668",
            "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 Jul 8, 2007; 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.