Island Care PT P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ISLAND CARE PT P.C.

Practice address

87 Atlantic Ave
Staten Island, NY 10304-4002

Phone

(929) 485-6000

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Haitham SallamNPI 1407258171

Title

DPT

Phone

(718) 666-0267

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haitham Sallam, DPT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1407258171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1831977370",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CARE PT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "SALLAM",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "718-666-0267"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bleona Islami
• Zulfiya Islamova
• Island Active Release and Sports Chiropractic
• Island Cardiovascular Surgery, PC
• Island Cardiovascular, PC
• Island Electrocardiographic Services, PC
• Island Eye Optical Corp.
• Island Hearing Solutions LLC
• Island Internist PC
• Island Kids Pediatrics, P.C.

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, 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 Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.