Mohamed Siam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043992-1 Issued in NY

Practice address

3311 Shore Pkwy Apt FF
Brooklyn, NY 11235

Phone

(929) 417-6381

Fax

(855) 955-3899

NPI assigned

May 6, 2021

Reactivated

Jun 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

B and L Health IncGroup PAC ID 9830124908, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BJEBCD

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.

• B & L Health Inc

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1023229416
  Medicare reassignment Care Compare group NPD
• Physical Therapy of the City PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1265940399

  Physical Therapist

  Medicare reassignment NPD
• Prokinetics Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1922412220
  Medicare reassignment NPD
• Rehab on Wheels OT PT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1245754225

  Physical Therapist

  Medicare reassignment NPD
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  NPD (past)

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1750965737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 E 21ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "929-417-6381",
            "fax_number": "855-955-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 SHORE PKWY APT FF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "929-417-6381",
            "fax_number": "855-955-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAM",
        "first_name": "MOHAMED",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "deactivation_date": "2022-05-06",
        "reactivation_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043992-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Shyu
• Si Medical PC
• Seongpan Si, M.D.
• Shaneen Ched Hembrador Sia
• Natalia Siadniova
• Kathleen Elena Siano, OTR/L
• Ellaine Sibal, PTA
• Jocelyn Sibal
• Una Sibirceva, MD
• Siblings Home Care Services LLC

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.