Individual provider Active NPI

Mohamed Elmansy

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1720510084
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040474 Issued in NY
Practice address
815 Gravesend Neck Rd Apt 1B
Brooklyn, NY 11223-5566
Phone
(929) 327-8815
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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 040474 NY Primary

Addresses

Primary practice location

815 Gravesend Neck Rd Apt 1B
Brooklyn, NY 11223-5566

Mailing address

815 Gravesend Neck Rd Apt 1B
Brooklyn, NY 11223-5566
Phone (929) 327-8815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170420000944 NY Practitioner - Physical Therapist in Private Practice 2264718576 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theradynamics Physical Therapy Rehabilitation PC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist PastSince Jul 5, 2023 Accepting new patients

Locations

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

3871 Sedgwick Ave
Bronx, NY 10463
Phone (718) 432-1440

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

153 Bennett Ave
New York, NY 10040
Phone (212) 928-7800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1720510084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 GRAVESEND NECK RD APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235566",
            "telephone_number": "929-327-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 GRAVESEND NECK RD APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235566",
            "telephone_number": "929-327-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMANSY",
        "first_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.