Breezy Point Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018065 Issued in NY

Legal business name

BREEZY POINT PHYSICAL THERAPY PC

Practice address

11412 Beach Channel Dr
Suite 6
Rockaway Park, NY 11694-2215

Phone

(718) 945-7878

Fax

(781) 945-7879

NPI assigned

May 18, 2007

Last updated

Apr 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed Mahmoud, PTNPI 1396948675

Title

Owner

Phone

(718) 945-7878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmed Fekry Mahmoud, PT

  • Physical Therapist
  • Breezy Point, NY
  • NPI 1396948675
  Medicare reassignment NPD Authorized official
• Ahmed S Ahmed, PT

  • Physical Therapist
  • Rockaway Park, NY
  • NPI 1588873681
  Medicare reassignment NPD

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1962610428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940068",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116940068",
            "telephone_number": "718-945-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 BEACH CHANNEL DR",
            "address_2": "SUITE 6",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942215",
            "telephone_number": "718-945-7878",
            "fax_number": "781-945-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZY POINT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-945-7878",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bloom, M.D.
• Scott Blutstein
• Tamara Bore
• Ruth Bornstein
• Ellen Brady
• Alicia Bridgraj, LMSW
• Dina Lynne Broady, SPECIAL EDUCATOR
• Aimee Theresa Brown, RN, IBCLC
• Anne Buckley-Reen, OTR
• Leonardo Danan Buluran, PT

• Physical Therapist in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.