Baby'S Bloom Rehab 1 PT. PC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BABY'S BLOOM REHAB 1 PT. PC.

Practice address

6903 4TH Ave
First Floor
Brooklyn, NY 11209-1509

Phone

(718) 745-7200

Fax

(718) 745-1877

NPI assigned

Oct 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Gamal Ismail Mousa, PTNPI 1124004833

Title

President

Phone

(718) 745-7200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gamal Ismail Mousa, PT PHD APD MS

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1124004833
  Medicare reassignment Authorized official
• Alwaled Yehia Abdelrohman Sr., PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1740905116
  NPD
• Walaa Fathy Hasabelnaby, P.T.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1881971257
  NPD

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

{
    "created_epoch": "1223078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1780835173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 4TH AVE",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091509",
            "telephone_number": "718-745-7200",
            "fax_number": "718-745-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 4TH AVE",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091509",
            "telephone_number": "718-745-7200",
            "fax_number": "718-745-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABY'S BLOOM REHAB 1 PT. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-04",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "MOUSA",
        "authorized_official_first_name": "GAMAL",
        "authorized_official_middle_name": "ISMAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-745-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "018836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry F Babushkin
• Baby Blooms Rehab, P.C.
• Baby Boom Family Services Inc
• Merilyn Baby, D.O.
• Titus Manjada Baby
• Babyboomfamily, Inc
• Alexandra Babyleva
• Paul Bacall, D.D.S.
• Emil G Baccash Jr., M.D.
• Kevin Bacchus

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.