Individual provider Active NPI

Ahmed Nady Mohamed

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1679905400
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034973 Issued in NY
Practice address
76 70TH St
2ND Floor
Brooklyn, NY 11209-1114
Phone
(929) 444-5178
NPI assigned
Aug 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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 034973 NY Primary

Addresses

Primary practice location

76 70TH St
2ND Floor
Brooklyn, NY 11209-1114

Mailing address

76 70TH St
2ND Floor
Brooklyn, NY 11209-1114
Phone (929) 444-5178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008001247 NY Practitioner - Physical Therapist in Private Practice 4981838869 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 W 57TH St
Suite 405
New York, NY 10019-3147
Phone (347) 918-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034973NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Physical & Occupational Therapy PLLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Peak Dynamics Physical Therapy PC CurrentSince Jun 26, 2020 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist PastSince Jul 5, 2023 Accepting new patients

Locations

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

315 W 57th St
Ste 407
New York, NY 10019
Phone (212) 706-0790

315 W 57th St
Ste 405
New York, NY 10019
Phone (212) 245-8123

534 W 112th St
Unit 250872
New York, NY 10025
Phone (516) 368-2829

Organizations & group practices 4

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1679905400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 70TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091114",
            "telephone_number": "929-444-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 70TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091114",
            "telephone_number": "929-444-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AHMED",
        "middle_name": "NADY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034973",
            "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 15, 2016; 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.