Individual provider Active NPI

Jennifer Pescitelli, DPT

  • Physical Therapist
  • Bay Shore, NY
National Provider Identifier
1639795222
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045471 Issued in NY
Practice address
225 Howells Rd FL 2
Bay Shore, NY 11706-5319
Phone
(631) 665-4560
Fax
(631) 665-7213
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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 045471 NY Primary

Addresses

Primary practice location

225 Howells Rd FL 2
Bay Shore, NY 11706-5319

Mailing address

225 Howells Rd FL 2
Bay Shore, NY 11706-5319
Phone (631) 665-4560

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Mar 2, 2024 Accepting new patients
Panetta Physical Therapy, PC Physical Therapist CurrentSince Jul 23, 2020 Accepting new patients

Locations

225 Howells Rd
Fl 2
Bay Shore, NY 11706
Phone (631) 665-4560

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

3385 Veterans Memorial Hwy
Ste I
Ronkonkoma, NY 11779
Phone (631) 665-4560

55 Bryant Ave
Fl 2
Roslyn, NY 11576
Phone (516) 484-9775

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1639795222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOWELLS RD FL 2",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065319",
            "telephone_number": "631-665-4560",
            "fax_number": "631-665-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOWELLS RD FL 2",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065319",
            "telephone_number": "631-665-4560",
            "fax_number": "631-665-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCITELLI",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.