Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prime Leader PT PC

Organization Physical Therapist · NPI 1568853786

Prime Leader PT PC is a Physical Therapist in Valley Stream, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

139 N Central Ave
Valley Stream, NY 11580-3856
Phone: (516) 612-7288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 35568 (NY)

Record details

NPI number1568853786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ahmed Ghanem — Owner · (516) 612-7288
NPI enumeratedFebruary 10, 2015
Last updated in NPPESFebruary 10, 2015
Mailing address8535 58th Ave, Elmhurst, NY 11373-4811

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