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

Tarek K Agag, PT, DPT

Individual provider Physical Therapist · NPI 1073120952

Tarek K Agag, PT, DPT is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2020, 6 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 309 Northwest Dr, Farmingdale, NY 11735-4935 — (516) 420-2900
  • 1034 N Broadway Ste 2, Yonkers, NY 10701-1329 — (914) 509-4640

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046284-01 (NY)

Record details

NPI number1073120952
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedSeptember 25, 2020
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck