Individual provider Active NPI

Amr Abdelaziz, PT, MSC, DPT, CMP.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1780072041
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03600-1 Issued in NY
Practice address
162 E 78TH St FL 5
New York, NY 10075-0406
Phone
(917) 472-7003
NPI assigned
Jan 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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 03600-1 NY Primary

Addresses

Primary practice location

162 E 78TH St FL 5
New York, NY 10075-0406

Mailing address

162 E 78TH St FL 5
New York, NY 10075-0406
Phone (917) 472-7003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170316001726 NY Practitioner - Physical Therapist in Private Practice 0143505016 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036000NYMDGeneral Practice Dentistry
03600-1NYMDPhysical Therapist

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Prohealth and Fitness PT OT PLLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Prohealth and Fitness PT OT PLLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Cairo Physio PT PC Physical Therapist Current Accepting new patients

Locations

162 E 78th St
Fl 5
New York, NY 10075
Phone (212) 439-9130

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1423 Bedford Ave
Brooklyn, NY 11216-3840

55 Water St
FL 12
New York, NY 10041-0004

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1780072041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E 78TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750406",
            "telephone_number": "917-472-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E 78TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750406",
            "telephone_number": "917-472-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELAZIZ",
        "first_name": "AMR",
        "name_prefix": "Dr.",
        "credential": "PT, MSC, DPT, CMP.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-08",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "03600-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; 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.