Jessica Khloe Cabilao Dequito, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045542 Issued in NY

Practice address

6860 Austin St
Forest Hills, NY 11375-4245

Phone

(718) 880-1716

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Benchmark Therapy, Inc

  • Physical Therapist
  • Clarksburg, WV
  • NPI 1689176844
  NPD (past)
• Benchmark Therapy, Inc

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1922553965
  NPD (past)
• Benchmark Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Duncansville, PA
  • NPI 1457365439
  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1598498206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 95TH ST",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212709",
            "telephone_number": "347-744-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754245",
            "telephone_number": "718-880-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEQUITO",
        "first_name": "JESSICA KHLOE",
        "middle_name": "CABILAO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Denny, LMSW
• Dental Made Easy P.C.
• Olena Denysova, FNP
• Angelina Anuradha Deonarine
• John Depetrillo Jr., M.D.
• Almira Dervisevic, PHARMD
• Deepna Desai, OTR/L
• Girish Desai, MD
• Bertrand Marc Desir, MD
• Mohamed Hassan Desoki, PT, DPT, OCS

• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, 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 Jul 8, 2022; 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.