Individual provider Active NPI

Jessy Davidson, PT,DPT

  • Physical Therapist
  • Huntington Station, NY
National Provider Identifier
1801504394
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2375B New York Ave
Huntington Station, NY 11746-4258
Phone
(631) 673-2933
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 Primary

Addresses

Primary practice location

2375B New York Ave
Huntington Station, NY 11746-4258

Mailing address

3 Huntington Quadrangle Ste 103N
Melville, NY 11747-4601
Phone (516) 474-2816

Other practice location 1

415 Crossways Park Dr Ste E
Woodbury, NY 11797-2055
Phone (516) 838-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240103003746 NY Practitioner - Physical Therapist in Private Practice 9133570138 Reassigns benefits to 2 organizations
I20241010002381 MA Practitioner - Physical Therapist in Private Practice 9133570138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

1037 Main St
Leicester, MA 01524-1313
Phone (508) 892-1335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Oct 4, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Feb 5, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Nov 11, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Feb 5, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Nov 11, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Oct 4, 2024 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

703 Granite St
Fl 3
Braintree, MA 02184

1037 Main St
Leicester, MA 01524
Phone (508) 892-1335

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

111 E 210th St
Bronx, NY 10467

9614 Metropolitan Ave
Ste 1550
Forest Hills, NY 11375
Phone (781) 424-9531

2375 New York Ave
#B
Huntington Station, NY 11746
Phone (631) 421-9191

3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

415 Crossways Park Dr
Ste E
Woodbury, NY 11797
Phone (516) 838-8400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1801504394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HUNTINGTON QUADRANGLE STE 103N",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474601",
            "telephone_number": "516-474-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375B NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464258",
            "telephone_number": "631-673-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Crossways Park Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117972055",
            "country_code": "US",
            "telephone_number": "516-838-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JESSY",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.