Individual provider Active NPI

Ian Feldman, MSPT

  • Physical Therapist
  • West Hempstead, NY
National Provider Identifier
1457304552
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025951 Issued in NY
Practice address
69 Garden City Blvd
West Hempstead, NY 11552-1930
Phone
(516) 385-2492
Fax
(516) 385-2492
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 025951 NY Primary

Addresses

Primary practice location

69 Garden City Blvd
West Hempstead, NY 11552-1930

Mailing address

626 Sheepshead Bay Rd
Ste 430
Brooklyn, NY 11224-3605
Phone (516) 385-2492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000512 NY Practitioner - Physical Therapist in Private Practice 7315965282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy of New York PLLCGroup PAC ID 9335271576, 2 clinicians

Practice addresses (Care Compare)

626 Sheepshead Bay Rd
Suite 430
Brooklyn, NY 11224-3605
Phone (718) 372-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025951NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince Sep 20, 2025 Accepting new patients
Advanced Physical Therapy of New York PLLC Physical Therapist CurrentSince Apr 6, 2009 Accepting new patients

Locations

626 Sheepshead Bay Rd
Ste 430
Brooklyn, NY 11224
Phone (718) 372-7300

425 Kingston Ave
Brooklyn, NY 11225
Phone (718) 616-1450

2136 Ocean Ave
Brooklyn, NY 11229
Phone (718) 376-5177

626 Sheepshead Bay Rd
Brooklyn, NY 11224
Phone (718) 215-7340

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

Organizations & group practices 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1457304552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 SHEEPSHEAD BAY RD",
            "address_2": "STE 430",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243605",
            "telephone_number": "516-385-2492",
            "fax_number": "516-385-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GARDEN CITY BLVD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521930",
            "telephone_number": "516-385-2492",
            "fax_number": "516-385-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "IAN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.