Jedidiah Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026709 Issued in NY

Legal business name

JEDIDIAH PHYSICAL THERAPY PC

Practice address

3041 Brighton 2ND St
Brooklyn, NY 11235-7453

Phone

(718) 484-3131

Fax

(347) 702-9107

NPI assigned

May 6, 2016

Last updated

May 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loremare Ladjahasan, PT

Title

Owner

Phone

(646) 309-8858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1588010698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 BRIGHTON 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357453",
            "telephone_number": "718-484-3131",
            "fax_number": "347-702-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 BRIGHTON 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357453",
            "telephone_number": "718-484-3131",
            "fax_number": "347-702-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEDIDIAH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "LADJAHASAN",
        "authorized_official_first_name": "LOREMARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-309-8858",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Jeanty
• Stephanie Jeanty, LMSW
• Tamara Jeanty, RN
• Antoine Jebran, MD
• Linda Jeddah
• Agnieska Jednacz, OT
• Jack Jedwab, M.D.
• Andrzej Roman Jedynak, MD, MS
• Jennifer Jee-Roytman, PSYD
• Kanika N Jefferies, LMSW

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.