Elsanaa PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

038838 Issued in NY

Legal business name

ELSANAA PT PC

Practice address

8609 51St Ave
Elmhurst, NY 11373-3923

Phone

(718) 760-8881

Fax

(718) 760-8880

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Mahmoud Elsanaa, DPT

Title

President

Phone

(929) 253-2364

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1740634237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LAKE DR W",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705733",
            "telephone_number": "718-760-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 51ST AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733923",
            "telephone_number": "718-760-8881",
            "fax_number": "718-760-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSANAA PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "ELSANAA",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-253-2364",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "038838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.