Individual provider Active NPI

Khaled E Afify, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1679631154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022598 Issued in NY
Practice address
2214 Stillwell Ave
Brooklyn, NY 11223-4250
Phone
(718) 947-3239
Fax
(718) 947-3264
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

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 022598 NY Primary

Addresses

Primary practice location

2214 Stillwell Ave
Brooklyn, NY 11223-4250

Mailing address

393 Stobe Ave
Staten Island, NY 10306-5235
Phone (646) 331-7186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022598NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physio PT PC Physical Therapist Current Accepting new patients
Simple Therapy PT PC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients

Locations

8105 Queens Blvd
Unit S2
Elmhurst, NY 11373
Phone (646) 331-7186

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679631154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 STOBE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065235",
            "telephone_number": "646-331-7186",
            "fax_number": "718-667-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 STILLWELL AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234250",
            "telephone_number": "718-947-3239",
            "fax_number": "718-947-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFIFY",
        "first_name": "KHALED",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022598",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.