Mohamed Mokhtar Abd Elrahman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033702-1 Issued in NY

Practice address

282 Avenue X
Brooklyn, NY 11223-5934

Phone

(718) 645-2335

Fax

(718) 645-3404

NPI assigned

Feb 8, 2013

Sex

Male

Sole proprietor

No

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.

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• Amra Medical , P.C

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  • NPI 1497095822
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• Total Anesthesia Provider , PC

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  • NPI 1881001485
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NY

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2013.

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1699014795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235934",
            "telephone_number": "718-645-2335",
            "fax_number": "718-645-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235934",
            "telephone_number": "718-645-2335",
            "fax_number": "718-645-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABD ELRAHMAN",
        "first_name": "MOHAMED",
        "middle_name": "MOKHTAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033702-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "033702-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abc RX Inc
• Abc Source LLC
• Abc Support Inc
• Abcdee Inc.
• Abdel Hamid Abd El Shafy
• Dana Khaldoun Abdah
• Youssef Abdalazez
• Abdelazim Abdalla
• Amr Mohammed Abdalla, PT
• Mai Abdalla, DPT

• All providers in Brooklyn, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.