Individual provider Active NPI

Mohamed Ali Sadeia, PT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1003050162
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014886-1 Issued in NY
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20131016001593 NY Practitioner - Physical Therapist in Private Practice 4880828359 Reassigns benefits to 3 organizations

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
Physical Therapy Link PCGroup PAC ID 3577721984, 2 clinicians

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

LicenseStateTypeSpecialty
5501007336MIMDPhysical Therapist
014886NYMDPediatric Occupational Therapist
014886-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summerfield PT PC Physical Therapist CurrentSince Jan 15, 2023 Accepting new patients
Al-Huda Physical Therapy, PC Physical Therapist CurrentSince May 15, 2014 Accepting new patients
Flatbush Physical Therapy PC Physical Therapist Current Accepting new patients
Physical Therapy Link PC Physical Therapist CurrentSince Jul 4, 2017 Accepting new patients
HNS Physical Therapy Rehab, P.C. CurrentSince May 15, 2014 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.

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.

Verify at the official NPI Registry.