Jason Intermesoli DPT PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JASON INTERMESOLI DPT PLLC

Practice address

604 Lincoln Ave
Sayville, NY 11782-1422

Phone

(631) 901-5885

NPI assigned

Sep 25, 2025

Organization subpart

No

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

Authorized official

Name

Jason Intermesoli, DPTNPI 1912736190

Title

Owner

Phone

(631) 901-5885

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Intermesoli

  • Physical Therapist
  • Patchogue, NY
  • NPI 1912736190
  NPD Authorized official

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1780557884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LINCOLN AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821422",
            "telephone_number": "631-901-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LINCOLN AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821422",
            "telephone_number": "631-901-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON INTERMESOLI DPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "INTERMESOLI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-901-5885",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joanne Iribhogbe
• Christina Ann Izzo, P.A
• Andrew Jacobs
• James Paul Dinovis
• Jennifer Flanagan LCSW, PC
• Judith A. Johnsen, MSW
• Jopal Sayville
• Johanne M. Judd, D.C.
• Nicole Just

• Physical Therapy Clinic/Center in Sayville, NY
• Providers in Sayville, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.