Organization Active NPI

Brooklyn PT & Rehabilitation, P.C.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1861664500
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014763 Issued in NY
Legal business name
BROOKLYN PT & REHABILITATION, P.C.
Practice address
8120 15TH Ave
Lower Level
Brooklyn, NY 11228-3120
Phone
(718) 236-1050
Fax
(718) 236-1075
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Prof. Ahmed Samir Elokda, P.T.
Title
Owner
Phone
(718) 236-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 014763 NY Primary

Addresses

Primary practice location

8120 15TH Ave
Lower Level
Brooklyn, NY 11228-3120

Mailing address

8120 15TH Ave
Lower Level
Brooklyn, NY 11228-3120
Phone (718) 236-1050

National Provider Directory

National Provider Directory

Locations

8120 15th Ave
Lowr
Brooklyn, NY 11228
Phone (718) 236-1050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1861664500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 15TH AVE",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283120",
            "telephone_number": "718-236-1050",
            "fax_number": "718-236-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 15TH AVE",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283120",
            "telephone_number": "718-236-1050",
            "fax_number": "718-236-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PT & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "ELOKDA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-236-1050",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014763",
            "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 Apr 1, 2008; 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.