Active NPI
Mahmoud Ali
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1891325353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041530
- Practice address
- 96 28TH Avenue 3Rd Floor
Brooklyn, NY 11214 - Phone
- (929) 424-2345
- NPI assigned
- Jan 23, 2020
- 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 | 041530 | NY | Primary |
Addresses
Primary practice location
96 28TH Avenue 3Rd Floor
Brooklyn, NY 11214
Mailing address
96 28TH Avenue 3Rd Floor
Brooklyn, NY 11214
Phone (929) 424-2345
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 |
|---|---|---|---|
| 041530 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1891325353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 28TH AVENUE 3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11214",
"telephone_number": "929-424-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 28TH AVENUE 3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11214",
"telephone_number": "929-424-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MAHMOUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041530",
"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 Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.