Outreach Manual Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

037478 Issued in NY

Legal business name

OUTREACH MANUAL PHYSICAL THERAPY PC

Practice address

8881 24TH Ave FL 2
Brooklyn, NY 11214-6501

Phone

(929) 888-1727

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed H HablasNPI 1053770610

Title

Dr

Phone

(929) 888-1727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Mohamed Hassan Basiouny Hablas

  • Physical Therapist
  • Staten Island, NY
  • NPI 1053770610
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1891144382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 24TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146501",
            "telephone_number": "929-888-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 24TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146501",
            "telephone_number": "929-888-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH MANUAL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "HABLAS",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "929-888-1727",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "037478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakena Outlaw
• Lawanda Outlaw
• Randolph Outlaw, CASAC
• Outpatient Rehab Centers of Ny
• Deneige Outram, RN, IBCLC
• Aimin Ouyang, RPA-C
• Jialing Ouyang
• Jie Ouyang, MD
• Sally Ouyang, PHARMD
• Abdelaziz Ouzidane, DMD

• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.