Active NPI
Shiref Ezzat Bayoumi, PT
- Physical Therapist
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049733
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049733 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peyman Younesi MD PLLC | Single Specialty | Current | Accepting new patients |
| Ats Rehab OT & PT & SLP PLLC | Single Specialty | Current | Accepting new patients |
| My Medical PC | Single Specialty | Current | Accepting new patients |
| Reddy Care Physical Therapy PC | Single Specialty | Current | Accepting new patients |
| Link Home Therapy Services of Ny-PT OT SLP PLLC | Single Specialty | Past | 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.
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1891053328
Single Specialty
-
- Physical Therapist
- Long Beach, NY
- NPI 1285562744
-
- Physical Therapy Clinic/Center
- Valley Stream, NY
- NPI 1942782966
Single Specialty
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.