RADWA PHYSICAL THERAPY PC (NPI# 1689969552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689969552 |
| Entity Type | Organization |
| Organization Name | RADWA PHYSICAL THERAPY PC |
| Practice Address |
430 79th St Brooklyn NY 11209-3708 |
| Mailing Address |
230 Bay 22nd St 2nd Fl Brooklyn NY 11214-6106 |
| Practice Telephone | 7187486644 |
| Practice Fax Number | 6462174028 |
| Mailing Telephone | 9177556680 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | DR. MOHAMED M ELMANDOUH (PT, DPT) |
| Authorized Official Telephone | 9177556680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
030595 | NY | Ambulatory Health Care Facilities |
| Street Address |
430 79TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730210311 | Donald Edward Huml | Chiropractor | 430 79th St, Brooklyn, NY 11209-3708 | 2007-03-08 |
| 1902352941 | Anthony Ciccone | Chiropractor | 430 79th St, Brooklyn, NY 11209-3708 | 2016-08-30 |
| 1942541438 | Optimum Health Physical Therapy PC | Physical Therapist | 430 79th St, Brooklyn, NY 11209-3708 | 2013-03-07 |
| 1972800191 | Don C Clum | Chiropractor | 430 79th St, Brooklyn, NY 11209-3708 | 2011-02-24 |
| 1205079555 | Errol Ade Collman | Acupuncturist | 430 79th St, Brooklyn, NY 11209-3708 | 2009-04-16 |
| 1255538377 | Dr. Donald Huml | Chiropractor | 430 79th St, Brooklyn, NY 11209-3708 | 2007-07-02 |
| 1578695383 | Huml Dc Integrative Healthcare PC | Chiropractor | 430 79th St, Brooklyn, NY 11209-3708 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1952917726 | Mauro Woods | Clinic/Center | 974 Greene Ave Apt 4a, Brooklyn, NY 11221-6313 | 2020-09-17 |
| 1003430018 | Kenefick Physical Therapy Pllc | Clinic/Center | 112 Noel Ave, Brooklyn, NY 11229-6421 | 2020-06-05 |
| 1740742097 | Tara Knutsen, Pt, P.C. | Clinic/Center | 346 Senator St, Brooklyn, NY 11220-5311 | 2019-04-04 |
| 1386106128 | Standard Care P.t. P.C. | Clinic/Center | 333 Greene Ave # Store339, Brooklyn, NY 11238-2295 | 2019-04-02 |
| 1467937961 | Metropolis Physical Therapy Pllc | Clinic/Center | 585 Bushwick Ave, Brooklyn, NY 11206-4628 | 2018-10-01 |
| 1194217216 | Kambiz Raoufian Physical Therapy Pllc | Clinic/Center | 2176 New York Ave, Brooklyn, NY 11210 | 2018-06-04 |
| 1427584630 | Equinox Physical Therapy, PC | Clinic/Center | 407 Rockaway Avenue, 2nd Floor, Brooklyn, NY 11212 | 2017-05-08 |
| 1588195408 | Spring Rehab Pt, PC. | Clinic/Center | 8881 24th Ave, 2nd Fl, Brooklyn, NY 11214-6501 | 2017-03-22 |
| 1053859207 | American Medical Company | Clinic/Center | 1671 W 10th St, Brooklyn, NY 11223-1104 | 2017-02-08 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.