Individual provider Active NPI

Alexander Brendon Sallahian, DPT

  • Physical Therapist
  • Harrison, NY
National Provider Identifier
1053080283
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
450 Mamaroneck Ave Ste 412
Harrison, NY 10528-2430
Phone
(914) 686-3116
NPI assigned
Sep 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

450 Mamaroneck Ave Ste 412
Harrison, NY 10528-2430

Mailing address

1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211006000478 NY Practitioner - Physical Therapist in Private Practice 0941608970 Reassigns benefits to 1 organization
I20260530000083 NJ Practitioner - Physical Therapist in Private Practice 0941608970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

166 Fairview Ave
Suite F
Westwood, NJ 07675-2279

23 Aultman Ave
Staten Island, NY 10306-1535

4 Amarillo Dr
Nanuet, NY 10954-1301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jawonio Inc Current Accepting new patients
Jawonio Inc CurrentSince May 4, 2024 Accepting new patients
Jawonio Inc CurrentSince May 4, 2024 Accepting new patients
Westchester Therapy Solutions OT PT St, PLLC PastSince Mar 12, 2024 Accepting new patients

Locations

260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648

260 N Little Tor Rd
#D
New City, NY 10956
Phone (845) 708-2000

775 N Main St
#D
Spring Valley, NY 10977
Phone (845) 708-2000

Organizations & group practices 5

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1053080283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY RD STE C103N",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 412",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282430",
            "telephone_number": "914-686-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLAHIAN",
        "first_name": "ALEXANDER",
        "middle_name": "BRENDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.