Smile for Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

034892 Issued in NY

Legal business name

SMILE FOR PHYSICAL THERAPY PC

Practice address

11 Bay 34TH St
Apt. 2R
Brooklyn, NY 11214-4210

Phone

(347) 393-5248

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Ahmed Manaa Manaa, DPT

Title

Owner / Doctor of Physical Therapy

Phone

(347) 393-5248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1922475425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BAY 34TH ST",
            "address_2": "APT. 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144210",
            "telephone_number": "347-393-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BAY 34TH ST",
            "address_2": "APT. 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144210",
            "telephone_number": "347-393-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FOR PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "MANAA",
        "authorized_official_first_name": "AHMED MANAA",
        "authorized_official_title_or_position": "OWNER / DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "347-393-5248",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "034892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.