Individual provider Active NPI

Khalid Gomaa Mahmoud Attia, PT

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1881246544
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042824 Issued in NY
Practice address
2531 Steinway St
Astoria, NY 11103-3788
Phone
(929) 463-7105
NPI assigned
Jul 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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 042824 NY Primary

Addresses

Primary practice location

2531 Steinway St
Astoria, NY 11103-3788

Mailing address

2527 Steinway St Apt 2R
Astoria, NY 11103-3736
Phone (201) 450-0569

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200408000998 NY Practitioner - Physical Therapist in Private Practice 6507295896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attia Rehabilitation PT PCGroup PAC ID 0547674160, 6 clinicians

Practice addresses (Care Compare)

16 Bay 25TH St
Brooklyn, NY 11214-3904
Phone (646) 641-1881

3052 Brighton 1St St
Suite 502
Brooklyn, NY 11235-8088
Phone (646) 641-1881

Merit-based Incentive Payment System (MIPS)

Final score
16.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
56.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042824NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Attia Rehabilitation PT,PC CurrentSince Feb 21, 2021 Accepting new patients
Alezza Physical Therapy Corp CurrentSince Jan 26, 2022 Accepting new patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince May 12, 2020 Accepting new patients
Attia Rehabilitation PT PC Physical Therapist CurrentSince Dec 14, 2020 Accepting new patients
Dekenes Rehabilitation PT PC PastSince Mar 17, 2025 Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1881246544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 STEINWAY ST APT 2R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033736",
            "telephone_number": "201-450-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033788",
            "telephone_number": "929-463-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIA",
        "first_name": "KHALID",
        "middle_name": "GOMAA MAHMOUD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.