Individual provider Active NPI

Youssef Mousa Endraws

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1902198930
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032919 Issued in NY
Practice address
1122 Coney Island Ave
#205
Brooklyn, NY 11230-2345
Phone
(718) 975-1119
Fax
(718) 975-1120
NPI assigned
May 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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 032919 NY Primary

Addresses

Primary practice location

1122 Coney Island Ave
#205
Brooklyn, NY 11230-2345

Mailing address

8727 26TH Ave
Brooklyn, NY 11214-5406
Phone (347) 296-7257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000168 NY Practitioner - Physical Therapist in Private Practice 7214114156 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Oct 12, 2017 Accepting new patients
Theradynamics Rehab. PT, OT & SLP, PLLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Dec 1, 2021 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist PastSince Jul 5, 2023 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

505 W 35th St
New York, NY 10001
Phone (929) 581-2050

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 4

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1902198930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 26TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145406",
            "telephone_number": "347-296-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CONEY ISLAND AVE",
            "address_2": "#205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302345",
            "telephone_number": "718-975-1119",
            "fax_number": "718-975-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRAWS",
        "first_name": "YOUSSEF",
        "middle_name": "MOUSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032919",
            "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 May 10, 2011; 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.