MEDICARE: REHAB 4 SHABAB PTPC

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	:	1831568849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB 4 SHABAB PTPC

Provider Business Mailing Address
First Line	:	9480 RIDGE BLVD APT 2K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-6751
Country	:	US
Telephone Number	:	718-748-6224
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 BELMONT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-6718
Country	:	US
Telephone Number	:	202-280-7019
Fax Number	:	855-790-3975

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AHMED KHAMISE
Credential	:	PT, DPT
Telephone Number	:	718-614-5700

Provider Enumeration Date	:	09/20/2015
Last Update Date	:	10/14/2015

Similar Medicare Providers

1104087428 — AHMED KHAMISE DPT
Practice Location Address:

77 BELMONT AVE
BROOKLYN, NY
11212-6718

Practice Phone: 718-614-5700
Practice Fax:

1548406390 — FOLEY SQUARE DENTAL, P.C.
Practice Location Address:

175 MONROE ST , LOWER LEVEL
BROOKLYN, NY
11216-6718

Practice Phone: 718-623-6222
Practice Fax: 717-623-6225

1932462017 — MS. LAYAH T DAVIDOWITZ MS SBL
Practice Location Address:

1812 AVENUE O
BROOKLYN, NY
11230-6718

Practice Phone: 718-909-2700
Practice Fax:

1376022269 — ANNA GOLDSTEIN OTR/L
Practice Location Address:

93 ATLANTIC AVE APT 3F
BROOKLYN, NY
11201-6718

Practice Phone: 973-202-5663
Practice Fax:

1689374803 — SOLACE ASSISTED LIVING
Practice Location Address:

6718 QUAIL AVE N
BROOKLYN CENTER, MN
55429-1656

Practice Phone: 612-814-8012
Practice Fax:

1396637468 — DA SHUN MAI
Practice Location Address:

6718 20TH AVE
BROOKLYN, NY
11204-4501

Practice Phone: 718-837-1008
Practice Fax:

Directions to “REHAB 4 SHABAB PTPC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.