St. Hermina Physical Therapist P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

030332 Issued in NY

Legal business name

ST. HERMINA PHYSICAL THERAPIST P.C.

Practice address

1711 Sheepshead Bay Rd
Brooklyn, NY 11235-3651

Phone

(718) 236-1050

Fax

(718) 236-1075

NPI assigned

May 9, 2009

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samer Fahmy Tawadros DawoodNPI 1295969921

Title

Physical Therapist

Phone

(917) 589-0684

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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.

• Samer Fahmy Tawadros Dawood

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1295969921
  Medicare reassignment NPD Authorized official
• Akshita J Soni

  • Physical Therapist
  • Staten Island, NY
  • NPI 1871177220
  NPD (past)

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

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1821222555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MANDY CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091966",
            "telephone_number": "917-589-0684",
            "fax_number": "718-236-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353651",
            "telephone_number": "718-236-1050",
            "fax_number": "718-236-1075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 Seguine Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103093941",
            "country_code": "US",
            "telephone_number": "718-605-2225",
            "fax_number": "718-236-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. HERMINA PHYSICAL THERAPIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-09",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "TAWADROS DAWOOD",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "FAHMY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-589-0684"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "030332",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley St. Clair
• Sandra St. Cloud
• Tamra St. Fleur
• St. Francis de Sales School for the Deaf
• St. Francis Heathcare Medical, P.C.
• Genevieve St. Hilaire, M.D.
• Candida St. Hillaire, PA-C
• Gladys St. Hubert, MSW
• Christy St. Jean
• Geraldine St. Jean

• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.