Individual provider Active NPI

Shiref Ezzat Bayoumi, PT

  • Physical Therapist
  • Jackson Heights, NY
National Provider Identifier
1295508216
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049733 Issued in NY
Practice address
7627 37TH Ave
Jackson Heights, NY 11372-6633
Phone
(718) 887-9888
NPI assigned
Nov 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 049733 NY Primary

Addresses

Primary practice location

7627 37TH Ave
Jackson Heights, NY 11372-6633

Mailing address

4124 45TH St Apt 4A2Nd
Sunnyside, NY 11104-1907
Phone (917) 916-4253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126002172 NY Practitioner - Physical Therapist in Private Practice 6204361363 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Rehabilitation PT PCGroup PAC ID 3678045044, 10 clinicians
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Reddy Care Physical Therapy PCGroup PAC ID 5890685986, 139 clinicians
Ats Rehab OT and PT and SLP PLLCGroup PAC ID 2567734452, 39 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

10030 Ditmars Blvd
East Elmhurst, NY 11369-1333
Phone (732) 399-9700

10825 Horace Harding Expy
Corona, NY 11368-4532
Phone (732) 399-9700

11126 Corona Ave
Flushing, NY 11368-4027
Phone (718) 592-6400

475 Northern Blvd
Great Neck, NY 11021-4802
Phone (516) 829-0030

6180 Woodhaven Blvd
Rego Park, NY 11374-2742
Phone (732) 399-9700

799 E Gun Hill Rd
Bronx, NY 10467-6107
Phone (310) 709-1236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049733NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peyman Younesi MD PLLC Single Specialty CurrentSince Jun 17, 2025 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Single Specialty CurrentSince Sep 21, 2024 Accepting new patients
My Medical PC Single Specialty CurrentSince Jun 17, 2025 Accepting new patients
Reddy Care Physical Therapy PC Single Specialty CurrentSince Jun 10, 2025 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC Single Specialty PastSince Oct 3, 2018 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030

11126 Corona Ave
Flushing, NY 11368
Phone (718) 592-6400

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023

475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

6180 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 446-4300

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1295508216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 45TH ST APT 4A2ND",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041907",
            "telephone_number": "917-916-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7627 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726633",
            "telephone_number": "718-887-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYOUMI",
        "first_name": "SHIREF",
        "middle_name": "EZZAT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.