Individual provider Active NPI

Ahmed Mahmoud Abdel Hady Sr., DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1780976225
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030398 Issued in NY
Practice address
17 W End Ave
Brooklyn, NY 11235-4812
Phone
(718) 484-8199
Fax
(718) 484-8197
NPI assigned
May 3, 2011
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 40QA01787900 NJ
Physical Therapist 225100000X 030398 NY Primary

Addresses

Primary practice location

17 W End Ave
Brooklyn, NY 11235-4812

Mailing address

10 Liam CT
Colonia, NJ 07067-4101
Phone (917) 816-7459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110610000263 NY Practitioner - Physical Therapist in Private Practice 7719164235 Reassigns benefits to 5 organizations
Practice locations: Staten Island, NY
I20190327000002 NJ Practitioner - Physical Therapist in Private Practice 7719164235 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11206
Phone (718) 701-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
NJ Pain & Spine PC Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients
At Your Doorstep OT PLLC Multi-Specialty CurrentSince Oct 11, 2024 Accepting new patients
Monarch Medical Group LLC Multi-Specialty CurrentSince Jan 5, 2025 Accepting new patients
Mobile Therapy Services, Inc. Multi-Specialty CurrentSince Jun 10, 2020 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince May 20, 2023 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Multi-Specialty CurrentSince Mar 9, 2020 Accepting new patients
Medhat F Sami MD PC Multi-Specialty Current Accepting new patients
New York Internal Medicine, P.C. Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients
Quality Care Physical Therapy & Rehab Center Multi-Specialty CurrentSince Oct 3, 2022 Accepting new patients
Sportsmed PT LLC Multi-Specialty CurrentSince Aug 18, 2025 Accepting new patients

Locations

515 Brick Blvd
Brick, NJ 08723
Phone (732) 800-6015

1037 US Highway 46
Ste 103
Clifton, NJ 07013
Phone (973) 471-8852

1037 US Highway 46
Ste 103A
Clifton, NJ 07013
Phone (202) 985-2191

90 Washington St
Ste 212
East Orange, NJ 07017
Phone (973) 415-2329

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

1040 Main St
Fl 3
Paterson, NJ 07503
Phone (888) 233-3415

2810 Steinway St
Astoria, NY 11103
Phone (718) 225-2244

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

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

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

1752 Francis Lewis Blvd
Whitestone, NY 11357
Phone (718) 746-9494

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1780976225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LIAM CT",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070674101",
            "telephone_number": "917-816-7459",
            "fax_number": "482-355-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354812",
            "telephone_number": "718-484-8199",
            "fax_number": "718-484-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL HADY",
        "first_name": "AHMED",
        "middle_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01787900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030398",
            "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 26, 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.