Individual provider Active NPI

Amir Mahrous Younan Hanna, PT, DPT

  • Physical Therapist
  • Ridgewood, NY
National Provider Identifier
1699464214
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04733101 Issued in NY
Practice address
6421 Fresh Pond Rd
Ridgewood, NY 11385-3330
Phone
(631) 494-7572
NPI assigned
May 1, 2023
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 04733101 NY Primary

Addresses

Primary practice location

6421 Fresh Pond Rd
Ridgewood, NY 11385-3330

Mailing address

714 Foch Blvd
Williston Park, NY 11596-1010
Phone (516) 216-0867

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305000404 NY Practitioner - Physical Therapist in Private Practice 2264877968 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

147 2ND Ave
Brentwood, NY 11717-4809
Phone (631) 273-7204

70 Father Capodanno Blvd
Staten Island, NY 10305-4803
Phone (718) 273-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047331NYMDDentist
04733101NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC CurrentSince Dec 15, 2024 Accepting new patients
The Caring PT Group, PLLC Physical Therapist CurrentSince Aug 23, 2025 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Physical Therapist CurrentSince Jan 18, 2025 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Sep 20, 2024 Accepting new patients
Trinity Rehab Physical Therapy PC Physical Therapist PastSince May 7, 2023 Accepting new patients
Occupational Therapy for Kids and Adults PC PastSince Dec 15, 2024 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

6180 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 446-4300

70 Father Capodanno Blvd
Staten Island, NY 10305
Phone (718) 273-8900

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1699464214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 FOCH BLVD",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961010",
            "telephone_number": "516-216-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853330",
            "telephone_number": "631-494-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "AMIR MAHROUS YOUNAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04733101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.