Individual provider Active NPI

Alwaled Yehia Abdelrohman Sr., PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1740905116
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049301 Issued in NY
Practice address
447 Bay Ridge Ave
Brooklyn, NY 11220-5973
Phone
(718) 238-6162
Fax
(718) 333-5927
NPI assigned
Oct 7, 2022
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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 049301 NY Primary

Addresses

Primary practice location

447 Bay Ridge Ave
Brooklyn, NY 11220-5973

Mailing address

411 Marshall St
Paterson, NJ 07503-2961
Phone (862) 571-7805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221103001108 NY Practitioner - Physical Therapist in Private Practice 4981071941 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Ridge Rd
Suite 211
Buffalo, NY 14224-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049301NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimized Independence OT PLLC Physical Therapist CurrentSince Oct 12, 2022 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Oct 15, 2022 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Yk Physical Therapy PLLC Physical Therapist CurrentSince Oct 12, 2022 Accepting new patients
Baby's Bloom Rehab 1 PT. PC. Physical Therapist CurrentSince Oct 9, 2022 Accepting new patients
Skilled Ways of Physical Therapy PC Physical Therapist CurrentSince Feb 24, 2024 Accepting new patients
Human Body in Motion PT PC Physical Therapist PastSince Sep 17, 2023 Accepting new patients
Universal Chiropractic,PC PastSince Mar 14, 2009 Accepting new patients

Locations

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

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031

1900 Ridge Rd
Ste 100
West Seneca, NY 14224
Phone (716) 374-6363

Organizations & group practices 8

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1740905116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MARSHALL ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032961",
            "telephone_number": "862-571-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205973",
            "telephone_number": "718-238-6162",
            "fax_number": "718-333-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELROHMAN",
        "first_name": "ALWALED",
        "middle_name": "YEHIA",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049301",
            "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 Oct 7, 2022; 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.