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

Omar Mohamed

Individual provider Physical Therapist · NPI 1275157281

Omar Mohamed is a Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2019, 7 years ago. Practices with Theradynamics Rehab PT, OT and SLP, PLLC, a 63-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

1565 W 11th St Apt 1R
Brooklyn, NY 11204-6245
Phone: (347) 577-3779
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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 041863 (NY)

Record details

NPI number1275157281
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 5, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Theradynamics Rehab Pt, Ot And Slp, Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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