Active NPI
Jesse Thomas Slevin, DPT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 049644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049644 | NY | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supreme Care Physical Therapy and Occupational Therapy, PLLC | Current | Accepting new patients | |
| Bienetre Medical PC | Current | 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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1841522190
-
- Physical Therapist
- New York, NY
- NPI 1568037257
-
- Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1285966531
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.