Individual provider Active NPI

Mahmoud Elshwadfy Ghazy, PHYSICAL THERAPIST

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1841738390
Registry record updated Feb 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039953 Issued in NY
Practice address
6860 Austin St Ste 307
Forest Hills, NY 11375-4223
Phone
(929) 272-9852
NPI assigned
Feb 4, 2017
Last updated
Feb 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039953 NY Primary

Addresses

Primary practice location

6860 Austin St Ste 307
Forest Hills, NY 11375-4223

Mailing address

324 E 25TH St
Brooklyn, NY 11226-7102
Phone (929) 272-9852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220000099 NY Practitioner - Physical Therapist in Private Practice 2668755570 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039953NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince May 26, 2018 Accepting new patients
Affinity Rehabilitation LLP CurrentSince Jan 14, 2025 Accepting new patients
Saunders Rehab PT PC Physical Therapist Current Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist PastSince Jul 5, 2023 Accepting new patients

Locations

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

3099 Emmons Ave
#1
Brooklyn, NY 11235
Phone (646) 750-4455

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

600 Lake St
West Harrison, NY 10604
Phone (914) 335-3394

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486166400000",
    "number": "1841738390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E 25TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267102",
            "telephone_number": "929-272-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST STE 307",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754223",
            "telephone_number": "929-272-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZY",
        "first_name": "MAHMOUD",
        "middle_name": "ELSHWADFY",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2017; 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.