PATHWAY PHYSICAL THERAPY REHABILITATION PLLC
NPI 1124974084
Physical Therapist in New York, NY

Active since March 04, 2026
4080 BROADWAY, NEW YORK, NY 10032(646) 775-5923 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pathway Physical Therapy Rehabilitation Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHWAY PHYSICAL THERAPY REHABILITATION PLLC (NPI 1124974084) is a healthcare organization registered as a physical therapist in New York, New York and active in the NPI registry since March 2026. The organization lists Omar Elgendy, Owner, as its authorized official.

NPPES Registry Identity

NPI1124974084
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePATHWAY PHYSICAL THERAPY REHABILITATION PLLC
Location Address4080 BROADWAYNew York, NY 10032-1572
Mailing Address4080 BroadwayNew York, NY 10032-1572 · (646) 775-5923
Organization SubpartNo
Authorized OfficialOmar ElgendyOwner · (646) 775-5923
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1124974084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4080 BROADWAY, New York, NY 10032

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pathway Physical Therapy Rehabilitation Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pathway Physical Therapy Rehabilitation PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1205368719
265 BEACH 20TH ST
Far Rockaway, NY 11691
(718) 337-7878
✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathway Physical Therapy Rehabilitation PLLC's NPI number?

The NPI number for Pathway Physical Therapy Rehabilitation PLLC is 1124974084. It was assigned to this organization in the NPPES registry on March 4, 2026.

Where is Pathway Physical Therapy Rehabilitation PLLC located?

Pathway Physical Therapy Rehabilitation PLLC is located at 4080 Broadway, New York, NY 10032. The listed phone number is (646) 775-5923.

What is Pathway Physical Therapy Rehabilitation PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Pathway Physical Therapy Rehabilitation PLLC enrolled in Medicare?

Yes. Pathway Physical Therapy Rehabilitation PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pathway Physical Therapy Rehabilitation PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Pathway Physical Therapy Rehabilitation PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pathway Physical Therapy Rehabilitation PLLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.