Individual provider Active NPI

Jeremy Gordesky, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1407769425
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
056520 Issued in NY
Practice address
7 Cove LN Apt 1a
Brooklyn, NY 11234-5851
Phone
(216) 538-5555
NPI assigned
Sep 23, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 056520 NY Primary

Addresses

Primary practice location

7 Cove LN Apt 1a
Brooklyn, NY 11234-5851

Mailing address

7 Cove LN
Condo 1a
Brooklyn, NY 11234-5851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1407769425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COVE LN",
            "address_2": "CONDO 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COVE LN APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345851",
            "telephone_number": "216-538-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDESKY",
        "first_name": "JEREMY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "056520",
            "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 Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.