Organization Active NPI

Ezcare Physical Therapy PC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1689946683
Registry record updated Apr 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018107 Issued in NY
Legal business name
EZCARE PHYSICAL THERAPY PC
Practice address
314 Seaview Ave
Staten Island, NY 10305-2246
Phone
(718) 812-6764
Fax
(718) 448-3979
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2023

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

Authorized official

Name
Dr. Abdelrahim A. Abulmagd, PT, DPT
Title
Physical Therapist/Owner
Phone
(718) 812-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 018107 NY Primary

Addresses

Primary practice location

314 Seaview Ave
Staten Island, NY 10305-2246

Mailing address

58 Belair LN
Staten Island, NY 10305-3067
Phone (718) 812-6764

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680998400000",
    "number": "1689946683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BELAIR LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053067",
            "telephone_number": "718-812-6764",
            "fax_number": "718-448-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052246",
            "telephone_number": "718-812-6764",
            "fax_number": "718-448-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZCARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2023-04-09",
        "certification_date": "2023-04-09",
        "status": "A",
        "authorized_official_last_name": "ABULMAGD",
        "authorized_official_first_name": "ABDELRAHIM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "718-812-6764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; 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.