Individual provider Active NPI

Mohammed A Islam, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1124801360
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050722 Issued in NY
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

Updated by the provider on Apr 26, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20230828001602 NY Practitioner - Physical Therapist in Private Practice 4385007111 Reassigns benefits to 3 organizations

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
Naledi Physical Therapy PLLCGroup PAC ID 1759819733, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Aug 10, 2023 Accepting new patients
Naledi Physical Therapy PLLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Americare, Inc. PastSince Apr 27, 2025 Accepting new patients
Americare, Inc. PastSince Apr 27, 2025 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.

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.

Verify at the official NPI Registry.