Active NPI
Haitham Sallam, DPT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1407258171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034717
- Practice address
- 87 Atlantic Ave
Staten Island, NY 10304-4002 - Phone
- (929) 485-6000
- Fax
- (929) 210-7000
- NPI assigned
- Sep 24, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 034717 | NY | Primary |
Addresses
Primary practice location
87 Atlantic Ave
Staten Island, NY 10304-4002
Mailing address
87 Atlantic Ave
Staten Island, NY 10304-4002
Phone (929) 485-6000
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
87 Atlantic Ave
Staten Island, NY 10304-4002
Phone (929) 485-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034717 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| Island Care PT P.C. | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current | Accepting new patients |
Locations
144 E 98th St
Brooklyn, NY 11212
Phone (347) 302-6045
801 Merrick Ave
East Meadow, NY 11554
Phone (516) 393-8900
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
Organizations & group practices 3
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 Therapist
- Staten Island, NY
- NPI 1831977370
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694908800000",
"number": "1407258171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 ATLANTIC AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044002",
"telephone_number": "929-485-6000",
"fax_number": "929-210-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 ATLANTIC AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044002",
"telephone_number": "929-485-6000",
"fax_number": "929-210-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLAM",
"first_name": "HAITHAM",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-24",
"last_updated": "2023-09-17",
"certification_date": "2023-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.