Individual provider Active NPI

Jade Geddrie

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1043859408
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043816 Issued in NY
Practice address
263 7TH Ave Ste 2a
Brooklyn, NY 11215-3693
Phone
(718) 369-8000
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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 043816 NY Primary

Addresses

Primary practice location

263 7TH Ave Ste 2a
Brooklyn, NY 11215-3693

Mailing address

263 7TH Ave Ste 2a
Brooklyn, NY 11215-3693
Phone (718) 369-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jgeddrie@motionptg.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028002291 NY Practitioner - Physical Therapist in Private Practice 4688084866 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

15 Frowein Rd
BLDG A1
Center Moriches, NY 11934-1607
Phone (631) 617-6265

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
043816NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Oct 18, 2022 Accepting new patients

Locations

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

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

800 E Gate Blvd
Garden City, NY 11530

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

700 New York Ave
Huntington, NY 11743
Phone (631) 547-4100

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

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

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

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

715 Sunrise Hwy
West Babylon, NY 11704
Phone (516) 475-2614

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1043859408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 7TH AVE STE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153693",
            "telephone_number": "718-369-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 7TH AVE STE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153693",
            "telephone_number": "718-369-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDRIE",
        "first_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jgeddrie@motionptg.com",
            "affiliation": "N",
            "endpointDescription": "Jgeddrie@motionptg.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "263 7th Ave Ste 2A",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112153693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.