Organization Active NPI

Rehab 4 Shabab PTPC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1831568849
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. Ahmed Khamise, PT, DPTNPI 1104087428
Title
President
Phone
(718) 614-5700

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

77 Belmont Ave
Brooklyn, NY 11212-6718

Mailing address

9480 Ridge Blvd Apt 2K
Brooklyn, NY 11209-6751
Phone (718) 748-6224

National Provider Directory

National Provider Directory

Locations

77 Belmont Ave
Brooklyn, NY 11212
Phone (202) 280-7019

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": "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": []
}

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 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.