Healthcare Provider Details

I. General information

NPI: 1154245322
Provider Name (Legal Business Name): DM CARE PT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 CLOVE RD
STATEN ISLAND NY
10304-1612
US

IV. Provider business mailing address

1701 W 13TH ST APT 3
BROOKLYN NY
11223-1056
US

V. Phone/Fax

Practice location:
  • Phone: 929-909-5545
  • Fax:
Mailing address:
  • Phone: 929-909-5545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DINA MOHAMED
Title or Position: DOCTOR OF PHYSICAL THERAPY
Credential: DPT
Phone: 929-909-5545