Active NPI
Mohamed Ali Sadeia, PT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1003050162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014886-1
- Practice address
- 49 Woodcrest Rd
Staten Island, NY 10303-1730 - Phone
- (718) 698-8487
- Fax
- (718) 698-8487
- NPI assigned
- Apr 20, 2009
- Last updated
- Apr 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014886-1 | NY | Primary |
| Physical Therapist | 225100000X | 5501007336 | MI |
Addresses
Primary practice location
49 Woodcrest Rd
Staten Island, NY 10303-1730
Mailing address
49 Woodcrest Rd
Staten Island, NY 10303-1730
Phone (718) 698-8487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43 Summerfield PL
Staten Island, NY 10303-2116
49 Woodcrest Rd
Staten Island, NY 10303-1730
Phone (917) 374-0504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501007336 | MI | MD | Physical Therapist |
| 014886 | NY | MD | Pediatric Occupational Therapist |
| 014886-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerfield PT PC | Physical Therapist | Current | Accepting new patients |
| Al-Huda Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Flatbush Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Link PC | Physical Therapist | Current | Accepting new patients |
| HNS Physical Therapy Rehab, P.C. | Current | Accepting new patients | |
| Physical Therapy Link PC | Physical Therapist | Past | Accepting new patients |
Locations
9711 3rd Ave
Ste 2
Brooklyn, NY 11209
Phone (718) 238-2911
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1578383113
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- Physical Therapist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1003050162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WOODCREST RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103031730",
"telephone_number": "718-698-8487",
"fax_number": "718-698-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 WOODCREST RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103031730",
"telephone_number": "718-698-8487",
"fax_number": "718-698-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADEIA",
"first_name": "MOHAMED",
"middle_name": "ALI",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "014886-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501007336",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.