Individual provider Active NPI

Jairus Gaberiel Maglasang Flores, PT, DPT

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1710462999
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041808 Issued in NY
Practice address
290 Community Dr
Great Neck, NY 11021-5504
Phone
(516) 487-1902
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 041808 NY Primary

Addresses

Primary practice location

290 Community Dr
Great Neck, NY 11021-5504

Mailing address

290 Community Dr
Great Neck, NY 11021-5504
Phone (516) 487-1902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724000020 NY Practitioner - Physical Therapist in Private Practice 4082940424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians
Link Medical Services PLLCGroup PAC ID 7214385111, 13 clinicians

Practice addresses (Care Compare)

138 5TH Ave
FL 2
New York, NY 10011-4367
Phone (212) 287-4257

160 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 727-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041808NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy and Acupuncture, PLLC Physical Therapist CurrentSince Jul 15, 2019 Accepting new patients
Link Medical Services PLLC CurrentSince Jul 3, 2025 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Mar 9, 2024 Accepting new patients

Locations

55 Northern Blvd
Ste 103
Great Neck, NY 11021
Phone (516) 466-9300

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

160 Old Country Rd
Riverhead, NY 11901
Phone (631) 531-9400

Organizations & group practices 3

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1710462999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215504",
            "telephone_number": "516-487-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215504",
            "telephone_number": "516-487-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JAIRUS GABERIEL",
        "middle_name": "MAGLASANG",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.