| Life Quality P.t P.c | |
|
11412 Beach Channel Dr, Suite # 6, Rockaway Park, NY 11694-2212 | |
| (718) 945-7878 | |
| (718) 945-7879 |
| Full Name | Life Quality P.t P.c |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 11412 Beach Channel Dr, Rockaway Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073889010 | NPI | - | NPPES |
| 6696905 | Other | NY | GHI PPO |
| 02638580 | Medicaid | NY | |
| MA8417 | Other | NY | ATLANTIS/EASY CHOICE |
| 1000065520 | Other | NY | AFFINITY |
| 10210162 | Other | NY | AMERIGROUP |
| 092282 | Other | NY | GHI HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 018417 (New York) | Primary |
| Provider Name | Ahmed F Mahmoud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396948675 PECOS PAC ID: 8426046780 Enrollment ID: I20040504001742 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Quality P.t P.c 11412 Beach Channel Dr, Suite # 6, Rockaway Park, NY 11694-2212 Ph: (718) 945-7878 | Life Quality P.t P.c 11412 Beach Channel Dr, Suite # 6, Rockaway Park, NY 11694-2212 Ph: (718) 945-7878 |
Shannonmarie Caparatta, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11915 Rockaway Beach Blvd, Rockaway Park, NY 11694 Phone: 718-634-3211 | |
Peter Mcnelis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 Beach 117th St, Rockaway Park, NY 11694 Phone: 347-287-5812 | |
Aneta Dabrowski, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 230 Beach 102nd St, Rockaway Park, NY 11694 Phone: 718-945-9575 | |
Shrok Sayed Elsayed, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 Beach 124th St, Rockaway Park, NY 11694 Phone: 646-248-4326 | |
Katelyn Marie Cusmiani, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11915 Rockaway Beach Blvd, Rockaway Park, NY 11694 Phone: 718-634-3211 | |
Ms. Kathleen Madigan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Beach 105th St Apt 6u, Rockaway Park, NY 11694 Phone: 718-634-5603 Fax: 717-634-5603 |