Individual provider Active NPI

Mohamed Mahmoud Aly Elhagaa

  • Physical Therapist
  • Richmond Hill, NY
National Provider Identifier
1750115432
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053116 Issued in NY
Practice address
10704 Jamaica Ave
Richmond Hill, NY 11418-2239
Phone
(347) 829-3890
Fax
(347) 829-3888
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 053116 NY Primary

Addresses

Primary practice location

10704 Jamaica Ave
Richmond Hill, NY 11418-2239

Mailing address

10704 Jamaica Ave
Richmond Hill, NY 11418-2239
Phone (347) 829-3890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126000273 NY Practitioner - Physical Therapist in Private Practice 1759816986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Touch Physical Therapy PLLCGroup PAC ID 9335194000, 4 clinicians

Practice addresses (Care Compare)

2876 W 27 St
Brooklyn, NY 11224-2812
Phone (718) 265-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053116NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Touch Physical Therapy, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Road to Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Back to Health Physical Therapy, PC Physical Therapist Past Accepting new patients

Locations

2876 W 27th St
Brooklyn, NY 11224
Phone (718) 265-2222

1270 44th St
Ste 1
Brooklyn, NY 11219
Phone (718) 840-3399

1270 44th St
Brooklyn, NY 11219
Phone (718) 840-3003

535 Flushing Ave
Brooklyn, NY 11205
Phone (781) 488-7272

Organizations & group practices 3

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1750115432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10704 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182239",
            "telephone_number": "347-829-3890",
            "fax_number": "347-829-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10704 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182239",
            "telephone_number": "347-829-3890",
            "fax_number": "347-829-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAGAA",
        "first_name": "MOHAMED",
        "middle_name": "MAHMOUD ALY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.