Radwa Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

030595 Issued in NY

Legal business name

RADWA PHYSICAL THERAPY PC

Practice address

430 79TH St
Brooklyn, NY 11209-3708

Phone

(718) 748-6644

Fax

(646) 217-4028

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed M Elmandouh

Title

PT, DPT

Phone

(917) 755-6680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Youssef Mohamed Youssef, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1245462720
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1689969552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BAY 22ND ST",
            "address_2": "2ND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146106",
            "telephone_number": "917-755-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 79TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093708",
            "telephone_number": "718-748-6644",
            "fax_number": "646-217-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADWA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "ELMANDOUH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PT, DPT",
        "authorized_official_telephone_number": "917-755-6680",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "030595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Radparvar, OD
• Hamed Radpasand, D.C.
• Philip Radujko
• Alexander Radushinsky, PHARMD
• Diane Carol Radvanski-Morales, PHD
• Rano Radzhabekova
• Esther Radzik
• Hadassa Radzik
• Sarah Radzik
• Rivka Radziminski, M.S.

• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.