Provider Demographics
NPI:1881346617
Name:BRIGHTON REHAB PT PC
Entity type:Organization
Organization Name:BRIGHTON REHAB PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:SAAD
Authorized Official - Last Name:ALKASSAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:347-217-6176
Mailing Address - Street 1:2709 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2807
Mailing Address - Country:US
Mailing Address - Phone:347-217-6176
Mailing Address - Fax:
Practice Address - Street 1:3209 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-1907
Practice Address - Country:US
Practice Address - Phone:347-217-6176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-23
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty