Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shahab Moradi, DPT

Individual provider Physical Therapist · NPI 1114233723

Mr. Shahab Moradi, DPT is a Physical Therapist in Private Practice in Brooklyn, New York. Graduated from State University of New York Downstate Medical Center in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
17
Trained at
State University of New York Downstate Medical Center
Licensed in
NJ, NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1119 Ocean Pkwy Apt 2C
Brooklyn, NY 11230-4010
Phone: (917) 771-8232
Fax: (718) 532-0395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 031821 (NY)
Physical Therapist Taxonomy 225100000X · Licence 40QA01320900 (NJ)

Record details

NPI number1114233723
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 20, 2010
Last updated in NPPESMay 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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