Active NPI
Hussain Al-Sullami, MSPT
- Physical Therapist
- Syosset, NY
National Provider Identifier
1821053232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018804-1
- Practice address
- 6851 Jericho Tpke
Ste 235
Syosset, NY 11791 - Phone
- (516) 682-8560
- Fax
- (516) 682-8562
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
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.
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of Ny Upstate Medical University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Precision Physical Therapy LLC
Practice addresses (Care Compare)
140 Eileen Way
Suite 700
Syosset, NY 11791-5330
Phone (516) 682-8560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110819000393 | NY | Practitioner - Physical Therapist in Private Practice | 9032389531 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018804-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
140 Eileen Way
Ste 700
Syosset, NY 11791
Phone (516) 682-8560
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018804-1 | NY | Primary |
| Physical Therapist | 225100000X | 018804 | NY |
Addresses
NPPES NPI RegistryPrimary practice location
6851 Jericho Tpke
Ste 235
Syosset, NY 11791
Mailing address
140 Eileen Way
Ste 700
Syosset, NY 11791-5301
Phone (516) 682-8560
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| QP7761 | Other | BLUE CROSS | |
| 0947494 | Other | CIGNA | |
| P2783358 | Other | OXFORD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2016.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475280000000",
"number": "1821053232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 EILEEN WAY",
"address_2": "STE 700",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915301",
"telephone_number": "516-682-8560",
"fax_number": "516-682-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6851 JERICHO TPKE",
"address_2": "STE 235",
"city": "SYOSSET",
"state": "NY",
"postal_code": "11791",
"telephone_number": "516-682-8560",
"fax_number": "516-682-8562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-SULLAMI",
"first_name": "HUSSAIN",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2016-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018804-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018804",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "QP7761",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0947494",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2783358",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; 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.