Sumith G Jebaraj, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031460 Issued in NY

Practice address

49 Church Street
Freeport, NY 11520-3830

Phone

(516) 623-6253

Fax

(516) 623-8450

NPI assigned

Dec 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St John'S Medical Services PCGroup PAC ID 1850314865, 89 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.83 of 100Reported as group

Quality

78.68

Promoting interoperability

98

Improvement activities

40

Cost

82.43

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
• Direct secure messaging: sumith.jebaraj.1@14448.direct.athenahealth.com

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.

• St John'S Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1023042173
  Medicare reassignment Care Compare group NPD
• Body Power Physical Therapy PC

  • Specialist
  • Freeport, NY
  • NPI 1275805830

  Physical Therapist

  Medicare reassignment NPD
• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD
• Body Power Physical Therapy, P C

  • Exclusive Provider Organization
  • Freeport, NY
  • NPI 1609845056

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1548599780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 DEBORAH RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916721",
            "telephone_number": "718-316-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CHURCH STREET",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203830",
            "telephone_number": "516-623-6253",
            "fax_number": "516-623-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEBARAJ",
        "first_name": "SUMITH",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031460-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Cecilia Jaramillo
• Fiona Jarrett-Thelwell
• Dionne Lynette Jean-Louis, OTR/L
• Diane Jeanite
• Beatrice Jeanty
• Jenny Delaleu Nurse Practitioner in Family Health PLLC
• Flore Lauture Jeudy, L.P.N.
• Karina Julissa Jimenez, RN
• JJ & R Chiropractic PC
• JJ Arribas Medical P.C.

• Physical Therapist in Freeport, NY
• Providers in Freeport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.