NPIMap

Organization Active NPI

Moon Physical Therapy, PC

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1841524972
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
021340 Issued in NY
Legal business name
MOON PHYSICAL THERAPY, PC
Practice address
2032 W 5TH St FL 1
Brooklyn, NY 11223-3835
Phone
(917) 957-2511
NPI assigned
Sep 22, 2009
Last updated
Sep 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Mohamed AhmedNPI 1023263795
Title
Director
Phone
(917) 957-2511

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
Early Intervention Provider Agency 252Y00000X 021340 NY Primary

Addresses

Primary practice location

2032 W 5TH St FL 1
Brooklyn, NY 11223-3835

Mailing address

2032 W 5TH St FL 1
Brooklyn, NY 11223-3835
Phone (917) 957-2511

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": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1841524972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 W 5TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233835",
            "telephone_number": "917-957-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 W 5TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233835",
            "telephone_number": "917-957-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-957-2511"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "021340",
            "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 Sep 22, 2009; 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.