Individual provider Active NPI

Mohamed Eldamnhory, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1922598556
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041541-1 Issued in NY
Practice address
2219 64TH St Apt E6
Brooklyn, NY 11204-3223
Phone
(347) 247-4575
NPI assigned
May 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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 041541-1 NY Primary

Addresses

Primary practice location

2219 64TH St Apt E6
Brooklyn, NY 11204-3223

Mailing address

2219 64TH St Apt E6
Brooklyn, NY 11204-3223
Phone (347) 247-4575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180614003021 NY Practitioner - Physical Therapist in Private Practice 0244585248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

2322 30TH Ave
Astoria, NY 11102-3255
Phone (718) 545-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041541-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Nov 11, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Nov 11, 2025 Accepting new patients
Mhe Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist PastSince Jul 5, 2023 Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

765 Burke Ave
Bronx, NY 10467
Phone (347) 348-0519

3867 E Tremont Ave
Bronx, NY 10465
Phone (332) 246-0507

111 E 210th St
Bronx, NY 10467

337 Jerusalem Ave
Hicksville, NY 11801
Phone (516) 324-3480

22 Jericho Tpke
Mineola, NY 11501

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1922598556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 64TH ST APT E6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043223",
            "telephone_number": "347-247-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 64TH ST APT E6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043223",
            "telephone_number": "347-247-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDAMNHORY",
        "first_name": "MOHAMED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041541-1",
            "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 18, 2018; 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.