Individual provider Active NPI

Shahriar Mohammed Alam

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1508772450
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
056125 Issued in NY
Practice address
98 Cuttermill Rd Ste 100
Great Neck, NY 11021-3012
Phone
(516) 466-4118
Fax
(516) 466-2856
NPI assigned
Aug 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 056125 NY Primary

Addresses

Primary practice location

98 Cuttermill Rd Ste 100
Great Neck, NY 11021-3012

Mailing address

98 Cuttermill Rd Ste 100
Great Neck, NY 11021-3012
Phone (516) 466-4118

Other practice location 1

1044 Northern Blvd Ste 101
Roslyn, NY 11576-1507
Phone (516) 484-2562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiologic Physical Therapy PC Physical Therapist PastSince Mar 1, 1994 Accepting new patients

Organizations & group practices 1

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": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1508772450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CUTTERMILL RD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213012",
            "telephone_number": "516-466-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CUTTERMILL RD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213012",
            "telephone_number": "516-466-4118",
            "fax_number": "516-466-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Northern Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Roslyn",
            "state": "NY",
            "postal_code": "115761507",
            "country_code": "US",
            "telephone_number": "516-484-2562",
            "fax_number": "516-484-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAM",
        "first_name": "SHAHRIAR",
        "middle_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "056125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.