Individual provider Active NPI

Jake Michael Thorley, DPT

  • Physical Therapist
  • Center Moriches, NY
National Provider Identifier
1285483016
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15 Frowein Rd
Center Moriches, NY 11934-1608
Phone
(631) 617-6265
NPI assigned
May 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 NY Primary

Addresses

Primary practice location

15 Frowein Rd
Center Moriches, NY 11934-1608

Mailing address

52 Beechwood Dr
Manorville, NY 11949-2947
Phone (631) 603-8568

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909001233 NY Practitioner - Physical Therapist in Private Practice 3274073028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Care Physical Therapy and Rehabilitation P.CGroup PAC ID 7517023351, 23 clinicians

Practice addresses (Care Compare)

191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone (631) 775-0971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients
Professional Care Physical Therapy and Rehabilitation P.C Physical Therapist CurrentSince Feb 16, 2025 Accepting new patients
All Star Physical Therapy and Rehabilition P.C. Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients

Locations

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

191 Patchogue Yaphank Rd
East Patchogue, NY 11772
Phone (631) 775-0971

800 E Gate Blvd
Garden City, NY 11530

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

322 W Main St
Patchogue, NY 11772
Phone 5167458070520

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

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1285483016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BEECHWOOD DR",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492947",
            "telephone_number": "631-603-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FROWEIN RD",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119341608",
            "telephone_number": "631-617-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORLEY",
        "first_name": "JAKE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.