Individual provider Active NPI

Mohamed Ebeido, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1649890609
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044090 Issued in NY
Practice address
1423 Bedford Ave
Brooklyn, NY 11216-3840
Phone
(347) 396-3599
NPI assigned
Apr 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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 044090 NY Primary

Addresses

Primary practice location

1423 Bedford Ave
Brooklyn, NY 11216-3840

Mailing address

1423 Bedford Ave
Brooklyn, NY 11216-3840
Phone (347) 396-3599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519000239 NY Practitioner - Physical Therapist in Private Practice 8628409059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands of Hope PT P.C.Group PAC ID 8022323781, 16 clinicians

Practice addresses (Care Compare)

255 Eastern Pkwy
Brooklyn, NY 11238-6300
Phone (347) 212-7685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044090NYMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Hands of Hope Comprehensive Medical Care PC Past Accepting new patients

Locations

837 E 149th St
Bronx, NY 10455
Phone (718) 569-8662

1134 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 218-8204

8009 5th Ave
Brooklyn, NY 11209
Phone (718) 748-0513

847 Atlantic Ave
Brooklyn, NY 11238
Phone (678) 272-1829

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

8003 211th St
Queens Vlg, NY 11427
Phone (718) 464-8948

1432 Hylan Blvd
Staten Island, NY 10305
Phone (718) 238-6161

1752 Francis Lewis Blvd
Whitestone, NY 11357
Phone (718) 746-9494

8620 Jamaica Ave
Woodhaven, NY 11421
Phone (347) 396-3153

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1649890609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163840",
            "telephone_number": "347-396-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163840",
            "telephone_number": "347-396-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBEIDO",
        "first_name": "MOHAMED",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044090",
            "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 Apr 20, 2020; 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.