Active NPI
Ahmed Khaled Mahrous, PT. PHYSICAL THERAPI
- Physical Therapist
- Hempstead, NY
National Provider Identifier
1871063669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042820-1
- Practice address
- 95 Clinton St
Hempstead, NY 11550 - Phone
- (917) 662-5776
- NPI assigned
- Dec 5, 2018
- Last updated
- Aug 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042820-1 | NY | Primary |
Addresses
Primary practice location
95 Clinton St
Hempstead, NY 11550
Mailing address
8845 19TH Avenue
Brooklyn, NY 11214
Phone (917) 662-5776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042820 | NY | MD | Pharmacist |
| 042820-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1871063669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8845 19TH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11214",
"telephone_number": "917-662-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 CLINTON ST",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "11550",
"telephone_number": "917-662-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHROUS",
"first_name": "AHMED",
"middle_name": "KHALED",
"name_prefix": "Dr.",
"credential": "PT. PHYSICAL THERAPI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-05",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042820-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.