Greenridge Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GREENRIDGE PHYSICAL THERAPY PC

Practice address

3247 Richmond Ave
Staten Island, NY 10312-2123

Phone

(718) 663-2252

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Yehia Abouelyousr MohamedNPI 1124344312

Title

Co-Owner/Ceo

Phone

(718) 285-2706

Specialties & licenses 1

Addresses

Practitioners 2

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

• Yehia Abouelyousr Mohamed, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1124344312
  NPD Authorized official
• Mohamed Mansour, PHYSICAL THERAPIST

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1003344540
  NPD

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1699532226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122123",
            "telephone_number": "646-750-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122123",
            "telephone_number": "718-663-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENRIDGE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "YEHIA",
        "authorized_official_middle_name": "ABOUELYOUSR",
        "authorized_official_title_or_position": "CO-OWNER/CEO",
        "authorized_official_telephone_number": "718-285-2706"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Rosemarie Greene, D.M.D.
• Samuel Greene
• Sharon Greene, MD
• Thomas Greene, PT, MSPT
• Greenleaf Nurse Practitioner in Psychiatry, PLLC
• Terry Lynn Greenspan
• Joshua David Greenstein, M.D.
• Sara Greenstein
• Frantzcesse Greffin
• Cassandra Greger

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.