Jesse Lou, DPT, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

053027 Issued in NY

Practice address

550 5TH Ave Ste 1
Brooklyn, NY 11215-7373

Phone

(718) 258-3300

NPI assigned

Aug 26, 2024

Last updated

Dec 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supreme Care Physical Therapy and Occupational Therapy PLLCGroup PAC ID 4385774694, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supreme Care Physical Therapy and Occupational Therapy, PLLC

  dba Evolve Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1841522190
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1538992433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605",
            "telephone_number": "718-258-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 5TH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157373",
            "telephone_number": "718-258-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOU",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "053027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Maria Lotto, PH. D, CASAC
• Lotus Innerspace Family Therapy LCSW, PLLC
• Lotus Medical PLLC
• Lotus Valley Acupuncture PC
• Irene Lou
• Samuel Loubaton, M.D.
• Marc Loubeau, NP
• Jasmine P Loubriel, LCSW
• Julianna Maria Louca, MD
• Mark Loudermilk, RN

• Orthopedic Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.