ST. HERMINA PHYSICAL THERAPIST P.C.
NPI 1821222555
Clinic/Center - Physical Therapy in Brooklyn, NY

Active since May 09, 2009
1711 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235(718) 236-1050(718) 236-1075 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St. Hermina Physical Therapist P.c. NPPES

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

ST. HERMINA PHYSICAL THERAPIST P.C. (NPI 1821222555) is a healthcare organization registered as a physical therapy in Brooklyn, New York and active in the NPI registry since May 2009. The organization maintains a secondary practice location in Staten Island and lists Samer Fahmy Tawadros Dawood, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1821222555
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameST. HERMINA PHYSICAL THERAPIST P.C.
Location Address1711 SHEEPSHEAD BAY RDBrooklyn, NY 11235-3651
Mailing Address12 Mandy CtStaten Island, NY 10309-1966 · (917) 589-0684 · Fax (718) 236-1075
Fax(718) 236-1075
Organization SubpartNo
Authorized OfficialSamer Fahmy Tawadros DawoodPhysical Therapist · (917) 589-0684
Enumeration DateMay 9, 2009
Last NPPES UpdateJanuary 12, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1821222555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in NY · 030332
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical TherapistTaxonomy 225100000X
1711 SHEEPSHEAD BAY RD, Brooklyn, NY 11235

Secondary Practice Location 1

Location 1318 Seguine AveStaten Island, NY 10309-3941 · Phone (718) 605-2225 · Fax (718) 236-1075

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

St. Hermina Physical Therapist P.c. 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 St. Hermina Physical Therapist P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1295969921
8120 15TH AVE
Brooklyn, NY 11228
(917) 589-0684
✔ Accepts Medicare3.5 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 St. Hermina Physical Therapist P.C.'s NPI number?

The NPI number for St. Hermina Physical Therapist P.C. is 1821222555. It was assigned to this organization in the NPPES registry on May 9, 2009.

Where is St. Hermina Physical Therapist P.C. located?

St. Hermina Physical Therapist P.C. is located at 1711 Sheepshead Bay Rd, Brooklyn, NY 11235. The listed phone number is (718) 236-1050.

What is St. Hermina Physical Therapist P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is St. Hermina Physical Therapist P.C. enrolled in Medicare?

Yes. St. Hermina Physical Therapist P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Hermina Physical Therapist P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to St. Hermina Physical Therapist P.C.. 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 St. Hermina Physical Therapist P.C. was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.