Prime Move PT PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PRIME MOVE PT PC

Practice address

108-25 Merrick Blvd
Jamaica, NY 11433

Phone

(347) 666-7816

Fax

(718) 658-9703

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Amr Mostafa, DPT

Title

Owner

Phone

(347) 666-7816

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1871312272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108-25 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "347-666-7816",
            "fax_number": "718-658-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108-25 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "347-666-7816",
            "fax_number": "718-658-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MOVE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "MOSTAFA",
        "authorized_official_first_name": "AMR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-666-7816",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.