Rehab 4 Shabab PTPC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REHAB 4 SHABAB PTPC

Practice address

77 Belmont Ave
Brooklyn, NY 11212-6718

Phone

(202) 280-7019

Fax

(855) 790-3975

NPI assigned

Sep 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Khamise, PT, DPT

Title

President

Phone

(718) 614-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1831568849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 RIDGE BLVD APT 2K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096751",
            "telephone_number": "718-748-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BELMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126718",
            "telephone_number": "202-280-7019",
            "fax_number": "855-790-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB 4 SHABAB PTPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "KHAMISE",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-614-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.