MEDICARE: DELTA CARE PHYSICAL THERAPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1891643789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELTA CARE PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	181 LEVERETT AVE FL 1
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10308-1643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2184 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4326
Country	:	US
Telephone Number	:	929-502-8523
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAHMOUD SOLOMA
Credential	:	DPT
Telephone Number	:	929-502-8523

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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