Individual provider Active NPI

Hassan Elagaty

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1922646793
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4235 Main St Ste 2D
Flushing, NY 11355-3958
Phone
(551) 216-3148
NPI assigned
Dec 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 Primary

Addresses

Primary practice location

4235 Main St Ste 2D
Flushing, NY 11355-3958

Mailing address

4325 Main St Ste 2D
Flushing, NY 11355-4743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909001385 NY Practitioner - Physical Therapist in Private Practice 1254759152 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 W 39TH St
RM 303
New York, NY 10018-0567
Phone (929) 419-4643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044293NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Ridge PT PC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Urban Wellness Physicians, PLLC CurrentSince Aug 23, 2024 Accepting new patients
Physical Therapy of the City PC Physical Therapist CurrentSince Jan 30, 2024 Accepting new patients
In Sync PT PC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Bienetre Medical PC Physical Therapist PastSince Jan 30, 2024 Accepting new patients
Cityhealth Medical PC PastSince Jul 1, 2017 Accepting new patients

Locations

1081 Gates Ave
Brooklyn, NY 11221
Phone (718) 443-7007

1349 Broadway
Brooklyn, NY 11221
Phone (425) 216-8810

1230 Fulton St
Brooklyn, NY 11216
Phone (347) 604-6733

8515 126th St
Kew Gardens, NY 11415
Phone (718) 924-2240

55 W 39th St
Rm 606
New York, NY 10018
Phone (347) 559-3378

55 W 39th St
Rm 303
New York, NY 10018
Phone (929) 419-4643

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16093/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1922646793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 MAIN ST STE 2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST STE 2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553958",
            "telephone_number": "551-216-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAGATY",
        "first_name": "HASSAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.