Organization Active NPI

Essential Rehab PT PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1811266869
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
030398 Issued in NY
Legal business name
ESSENTIAL REHAB PT PC
Practice address
17 W End Ave
Brooklyn, NY 11235-4812
Phone
(718) 484-8199
Fax
(718) 484-8197
NPI assigned
Dec 21, 2011
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Mr. Ahmed Mahmoud Abdelhady, BACHLOR DEGREENPI 1780976225
Title
Physical Therapist
Phone
(917) 816-7459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 030398 NY Primary

Addresses

Primary practice location

17 W End Ave
Brooklyn, NY 11235-4812

Mailing address

46 Croft PL
Staten Island, NY 10314-6508
Phone (718) 442-5089

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1811266869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CROFT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146508",
            "telephone_number": "718-442-5089",
            "fax_number": "718-442-5089"
        },
        {
            "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": {
        "organization_name": "ESSENTIAL REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "ABDELHADY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-816-7459",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BACHLOR DEGREE"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.