Individual provider Active NPI

Talia Emily Sharifiazad, DPT

  • Physical Therapist
  • Greenvale, NY
National Provider Identifier
1962123786
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049463 Issued in NY
Practice address
50 Glen Cove Rd
Greenvale, NY 11548-1062
Phone
(516) 626-8787
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 049463 NY Primary

Addresses

Primary practice location

50 Glen Cove Rd
Greenvale, NY 11548-1062

Mailing address

25 Stevenson Dr
Great Neck, NY 11023-1823
Phone (516) 567-9297

Other practice location 1

800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004003662 NY Practitioner - Physical Therapist in Private Practice 7618353251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

51 Great Neck Rd
Great Neck, NY 11021-3333
Phone (516) 745-8070

57 Old Shore Rd
Port Washington, NY 11050-2222
Phone (516) 464-7959

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049463NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Jan 23, 2026 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jan 23, 2026 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Sep 8, 2022 Accepting new patients

Locations

616 Bedford Ave
Bellmore, NY 11710
Phone (516) 586-5533

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

3153 Albany Post Rd
Buchanan, NY 10511
Phone (914) 737-2701

15 Frowein Rd
Bldg A1
Ctr Moriches, NY 11934
Phone (631) 617-6265

800 E Gate Blvd
Garden City, NY 11530

1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

18 E Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 418-8283

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

259 Walt Whitman Rd
Huntington Station, NY 11746
Phone (516) 738-4844

3135 Long BCH Rd
Oceanside, NY 11572

322 W Main St
Patchogue, NY 11772
Phone 5167458070520

510 Old Country Rd
Plainview, NY 11803
Phone (516) 433-6662

1500 Route 112
Bldg 9
Port Jefferson Station, NY 11776
Phone (631) 849-6688

57 Old Shore Rd
Port Washington, NY 11050
Phone (516) 464-7959

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

679 Whiskey Rd
Ridge, NY 11961
Phone (631) 821-4313

1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556

Organizations & group practices 3

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": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1962123786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STEVENSON DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231823",
            "telephone_number": "516-567-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLEN COVE RD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481062",
            "telephone_number": "516-626-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Gate Blvd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115302105",
            "country_code": "US",
            "telephone_number": "516-745-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARIFIAZAD",
        "first_name": "TALIA",
        "middle_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.