Atlantic Rehab Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATLANTIC REHAB PHYSICAL THERAPY PC

Practice address

810 Rogers Ave
Brooklyn, NY 11226-4176

Phone

(917) 886-7569

NPI assigned

Jun 15, 2016

Last updated

Oct 25, 2016By 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

Bayomi Moustafa, P.T.

Title

Owner

Phone

(917) 886-7569

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Bayomy Moustafa, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1528019197
  Medicare reassignment
• Islam Nasr, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1598213910
  Medicare reassignment

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1972953412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 HUSSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063508",
            "telephone_number": "917-886-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ROGERS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264176",
            "telephone_number": "917-886-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC REHAB PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "MOUSTAFA",
        "authorized_official_first_name": "BAYOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-886-7569",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Atlantic RX Inc.
• Atlantic RX Inc.
• Atlantic Sports Medicine
• Atlantic Surgical Supply Corp
• Atlantic Terminal Dental, P.C.

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 25, 2016; 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.