Individual provider Active NPI

Jemelie Dela Cruz, PT, DPT, CKTP

  • Physical Therapist
  • New York, NY
National Provider Identifier
1093224479
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037355-1 Issued in NY
Practice address
157 E 86TH St
New York, NY 10028-2175
Phone
(212) 831-3315
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 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 037355-1 NY Primary

Addresses

Primary practice location

157 E 86TH St
New York, NY 10028-2175

Mailing address

157 E 86TH St
New York, NY 10028-2175
Phone (212) 831-3315

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107000215 NY Practitioner - Physical Therapist in Private Practice 5092149690 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

222 Mamaroneck Ave
FL 2
White Plains, NY 10605-1303
Phone (914) 948-3893

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as individual
Quality
78.08
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037355-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Mar 1, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Precision PT, OT & SLP Services, PLLC Physical Therapist CurrentSince Jul 3, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients

Locations

685 River Ave
Lakewood, NJ 08701
Phone (732) 364-3772

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

8016 Cooper Ave
Glendale, NY 11385
Phone (718) 894-8960

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

576 Broadhollow Rd
Melville, NY 11747

3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816

157 E 86th St
New York, NY 10028
Phone (212) 722-2424

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

222 Westchester Ave
Ste 307
White Plains, NY 10604
Phone (914) 688-7010

222 Mamaroneck Ave
Fl 2
White Plains, NY 10605
Phone (914) 948-3893

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

78 Stratton St S
Yonkers, NY 10701
Phone (732) 364-3772

Organizations & group practices 7

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1093224479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282175",
            "telephone_number": "212-831-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282175",
            "telephone_number": "212-831-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "JEMELIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CKTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037355-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.