Individual provider Active NPI

John Philip Pelos

  • Physical Therapist
  • Woodhaven, NY
National Provider Identifier
1366852576
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037307 Issued in NY
Practice address
8802 91St Ave Apt 1R
Woodhaven, NY 11421-2500
Phone
(347) 420-7743
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 037307 NY Primary

Addresses

Primary practice location

8802 91St Ave Apt 1R
Woodhaven, NY 11421-2500

Mailing address

8802 91St Ave Apt 1R
Woodhaven, NY 11421-2500
Phone (347) 420-7743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119002104 NY Practitioner - Physical Therapist in Private Practice 5991137614 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nya Physical Therapy PCGroup PAC ID 4880973452, 5 clinicians

Practice addresses (Care Compare)

1270 51St St
Brooklyn, NY 11219-3661
Phone (718) 854-1051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037307NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Oct 15, 2020 Accepting new patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Nya Physical Therapy PC Physical Therapist CurrentSince Dec 31, 2019 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 4

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1366852576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 91ST AVE APT 1R",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212500",
            "telephone_number": "347-420-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 91ST AVE APT 1R",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212500",
            "telephone_number": "347-420-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOS",
        "first_name": "JOHN PHILIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.