Individual provider Active NPI

Jesse Thomas Slevin, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1093424541
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
049644 Issued in NY
Practice address
372 Avenue U
Brooklyn, NY 11223-4018
Phone
(718) 258-3300
NPI assigned
Nov 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 049644 NY Primary

Addresses

Primary practice location

372 Avenue U
Brooklyn, NY 11223-4018

Mailing address

75 Mackay PL
Brooklyn, NY 11209-1103
Phone (917) 392-4703

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130001892 NY Practitioner - Physical Therapist in Private Practice 5991176943 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)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049644NYMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Care Physical Therapy and Occupational Therapy, PLLC CurrentSince Nov 9, 2022 Accepting new patients
Bienetre Medical PC CurrentSince Jul 15, 2025 Accepting new patients
Sensory Freeway Therapy Services OT, PT and SLP, PLLC Past Accepting new patients

Locations

372 Avenue U
Brooklyn, NY 11223
Phone (347) 392-2673

5418 5th Ave
Brooklyn, NY 11220
Phone (646) 752-7058

372 Avenue U
Ste 1A
Brooklyn, NY 11223
Phone (718) 258-3300

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

5316 Church Ave
Brooklyn, NY 11203

286 Court St
Brooklyn, NY 11231
Phone (347) 604-6733

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

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1093424541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MACKAY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091103",
            "telephone_number": "917-392-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234018",
            "telephone_number": "718-258-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEVIN",
        "first_name": "JESSE",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "049644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 22, 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.