MEDICARE: PHYSICAL THERAPY OF THE CITY 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	038610	NY
2	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1265940399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY OF THE CITY PC

Provider Business Mailing Address
First Line	:	8746 20TH AVE # L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4802
Country	:	US
Telephone Number	:	347-604-6733
Fax Number	:

Provider Business Practice Location Address
First Line	:	8746 20TH AVE # L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4802
Country	:	US
Telephone Number	:	718-648-0888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAHMOUD SHALABY
Credential	:
Telephone Number	:	347-604-6733

Provider Enumeration Date	:	01/10/2018
Last Update Date	:	09/05/2025

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