Individual provider Active NPI

Hussien Mohamed Ahmed, PHYSICAL THERAPIST

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1730200262
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019278 Issued in NY
Practice address
9711 3Rd Ave Ste 2
Brooklyn, NY 11209-7717
Phone
(718) 755-5367
Fax
(888) 908-8284
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 019278 NY Primary

Addresses

Primary practice location

9711 3Rd Ave Ste 2
Brooklyn, NY 11209-7717

Mailing address

312 McClean Ave
Staten Island, NY 10305-4457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000362 NY Practitioner - Physical Therapist in Private Practice 6204985856 Reassigns benefits to 4 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy for All PCGroup PAC ID 3779868245, 2 clinicians

Practice addresses (Care Compare)

1942 Bath Ave
Brooklyn, NY 11214-4704
Phone (718) 238-2911

686 Bay St
Staten Island, NY 10304-3889
Phone (718) 879-1887

9711 3Rd Ave
Suite 2
Brooklyn, NY 11209-7702
Phone (718) 238-2911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019278NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Speech-Language Pathology Physical and Occupational Therapy CurrentSince Jan 1, 2012 Accepting new patients
Physical Therapy for All PC Physical Therapist CurrentSince Mar 20, 2017 Accepting new patients
HNS Physical Therapy Rehab, P.C. CurrentSince May 15, 2014 Accepting new patients
Al-Huda Physical Therapy, PC Physical Therapist CurrentSince Apr 13, 2009 Accepting new patients
Mercy Medical Care, PC PastSince Mar 20, 2017 Accepting new patients

Locations

9711 3rd Ave
Ste 2
Brooklyn, NY 11209
Phone (718) 238-2911

1441 Old Northern Blvd
Roslyn, NY 11576
Phone (516) 625-6846

Organizations & group practices 5

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1730200262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MCCLEAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 3RD AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097717",
            "telephone_number": "718-755-5367",
            "fax_number": "888-908-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "HUSSIEN",
        "middle_name": "MOHAMED",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019278",
            "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 May 29, 2019; 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.