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

Individual provider Physical Therapist · NPI 1780404665

Kaukab Mazhar is a Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2009, 17 years ago. Practices with Physical Therapy of the City PC, a 78-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

1230 Fulton St
Brooklyn, NY 11216-2003
Phone: (718) 648-0888
Fax: (855) 955-3899
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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 051698 (NY)

Record details

NPI number1780404665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Physical Therapy Of The City Pc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brooklyn