Active NPI
Mohammed A Islam, PT, DPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1124801360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 050722
- Practice address
- 2255 Coleman St
Brooklyn, NY 11234-5126 - Phone
- (718) 434-5100
- NPI assigned
- Aug 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 050722 | NY | Primary |
Addresses
Primary practice location
2255 Coleman St
Brooklyn, NY 11234-5126
Mailing address
2419 42ND St
Astoria, NY 11103-2863
Phone (347) 407-4119
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Riverside Dr
Suite 1 0
New York, NY 10024-2605
Phone (347) 267-0743
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT and OT for Senior Rehab at Home PLLC | Physical Therapist | Current | Accepting new patients |
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Naledi Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Americare, Inc. | Past | Accepting new patients | |
| Americare, Inc. | Past | Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
8008 45th Ave
Ofc
Elmhurst, NY 11373
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1316753783
Physical Therapist
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
-
- Home Health Agency
- Brooklyn, NY
- NPI 1649363342
-
- Home Health Agency
- Brooklyn, NY
- NPI 1992180558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1124801360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 42ND ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032863",
"telephone_number": "347-407-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 COLEMAN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345126",
"telephone_number": "718-434-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAM",
"first_name": "MOHAMMED",
"middle_name": "A",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-14",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.