Ahmed Shakshouk

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052722 Issued in NY

Practice address

187 Beach 114TH St
Rockaway Park, NY 11694-2406

Phone

(516) 923-0184

NPI assigned

Aug 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy of the City PCGroup PAC ID 8820358484, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy of the City PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1265940399

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1679304745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BEACH 114TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942406",
            "telephone_number": "516-923-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 BEACH 114TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942406",
            "telephone_number": "516-923-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKSHOUK",
        "first_name": "AHMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Sekulski
• Emily Bess Seligman, LMSW
• Serenity Comfort Care & Family Services
• Myrtz Melody Revesencio Sevilla
• Darshi Shah
• Samina Amjad Sheikh, MASTERS IN EDUCATION
• Sheldon W. Miller DPM PC
• Nia Jane'T Sherard
• Maka Giorgievna Shermadini, PTA
• Shibrah M. Jamil, MD, P.C.

• Physical Therapist in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.