Mohamed Khallaf, in Ridgewood, NY - Physical Therapist

Mohamed Khallaf, is a Physical Therapist based in Ridgewood, New York. Mohamed Khallaf is licensed to practice in * (Not Available) (license number ) and his current practice location is 6805 Fresh Pond Rd, Ridgewood, New York. He can be reached at his office (for appointments etc.) via phone at (718) 456-2543.

NPI number for Mohamed Khallaf is 1174068720 and his current mailing address is 1500 Julianas Way, Cedar Park, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174068720.

Contact Information

	Mohamed Khallaf,
	6805 Fresh Pond Rd, Ridgewood, NY 11385-5200
	(718) 456-2543
	Not Available

Healthcare Provider's Profile

Full Name	Mohamed Khallaf
Gender	Male
Speciality	Physical Therapist
Location	6805 Fresh Pond Rd, Ridgewood, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1174068720
Provider Enumeration Date: 01/05/2017
Last Update Date: 07/06/2021

Medical Identifiers

Medical identifiers for Mohamed Khallaf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174068720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1345001 (Texas)	Secondary
2251G0304X	Physical Therapist - Geriatrics	(* (Not Available))	Secondary
2251H1300X	Physical Therapist - Human Factors	(* (Not Available))	Secondary
2251P0200X	Physical Therapist - Pediatrics	036856 (New York)	Secondary
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	Secondary
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mohamed Khallaf is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mohamed Khallaf, 1500 Julianas Way, Cedar Park, TX 78613-7182 Ph: (646) 436-8480	Mohamed Khallaf, 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 Ph: (718) 456-2543

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Physical Therapist in Ridgewood, NY

Khashayar Yousefian, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1670 George St Apt 2l, Ridgewood, NY 11385 Phone: 408-667-7548
Redcore Physical Therapy And Rehabiitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 311 St Nicholas Avenue, Suite E- Basement, Ridgewood, NY 11385 Phone: 718-509-9888 Fax: 718-509-6144
Bhavna Rajesh Devnani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 929-299-6505
Stacie Malner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1666 Hancock St, Ridgewood, NY 11385 Phone: 718-456-7588
Bryan Joseph Gicana De La Cruz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 865 Cypress Ave, Ridgewood, NY 11385 Phone: 848-667-0943 Fax: 848-667-0943
Jamelle Rosette Santos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784
Ruchi Modi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784

Mohamed Khallaf, - Physical Therapist in Ridgewood, NY