Individual provider Active NPI

Jeanne Ashley Seepaul, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1053073908
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047867 Issued in NY
Practice address
6161 Strickland Ave
Brooklyn, NY 11234-6409
Phone
(347) 894-1356
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 047867 NY Primary

Addresses

Primary practice location

6161 Strickland Ave
Brooklyn, NY 11234-6409

Mailing address

110 Jackie Robinson Pkwy
Brooklyn, NY 11207-1913
Phone (347) 894-1356

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeanne@evolveny.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211105002444 NY Practitioner - Physical Therapist in Private Practice 8426447806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3319 Ave N
Brooklyn, NY 11234-2605
Phone (718) 258-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047867NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince Jul 15, 2025 Accepting new patients
Supreme Care Physical Therapy and Occupational Therapy, PLLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients

Locations

550 5th Ave
Ste 1
Brooklyn, NY 11215
Phone (718) 258-3300

6161 Strickland Ave
Brooklyn, NY 11234
Phone (347) 894-1356

3319 Avenue N
Brooklyn, NY 11234
Phone (718) 258-3300

3319 Avenue N
Ste 1
Brooklyn, NY 11234
Phone (718) 258-3000

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

Organizations & group practices 2

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1053073908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 JACKIE ROBINSON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071913",
            "telephone_number": "347-894-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 STRICKLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346409",
            "telephone_number": "347-894-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEPAUL",
        "first_name": "JEANNE",
        "middle_name": "ASHLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeanne@evolveny.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6161 Strickland Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112346409",
            "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 Oct 7, 2021; 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.