Individual provider Active NPI

Jason Mathew Roth, MSPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1831426485
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025109 Issued in NY
Practice address
3319 Avenue N
Brooklyn, NY 11234-2605
Phone
(718) 258-3300
NPI assigned
Nov 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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 025109 NY Primary

Addresses

Primary practice location

3319 Avenue N
Brooklyn, NY 11234-2605

Mailing address

3319 Avenue N
Brooklyn, NY 11234-2605
Phone (718) 258-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040417000054 NY Practitioner - Physical Therapist in Private Practice 7012902224 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babiec and Roth Physical Therapy PLLCGroup PAC ID 4688073364, 6 clinicians

Practice addresses (Care Compare)

295 Robbins LN
Syosset, NY 11791-6005
Phone (212) 439-1596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BRM Physical Therapy PLLC Physical Therapist CurrentSince Sep 21, 2025 Accepting new patients
Evolve Physical Therapy, PLLC Physical Therapist CurrentSince Sep 1, 2011 Accepting new patients
Babiec & Roth Physical Therapy PLLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
Utopia Physical Therapy PC Physical Therapist PastSince Dec 15, 2009 Accepting new patients
Upper East Side Medical PC Past Accepting new patients
Sports Therapy and Rehabilitation, Ptot Physical Therapist Past Accepting new patients

Locations

3319 Avenue N
Brooklyn, NY 11234
Phone (718) 258-3300

1317 3rd Ave
Fl 9
New York, NY 10021
Phone (212) 439-1596

202 W 74th St
New York, NY 10023
Phone (212) 439-1596

159 E 74th St
Ofc 1
New York, NY 10021
Phone (212) 439-1596

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

295 Robbins Ln
Syosset, NY 11791
Phone (212) 439-1596

6801 Jericho Tpke
Ste 200
Syosset, NY 11791

Organizations & group practices 7

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": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1831426485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605",
            "telephone_number": "718-258-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605",
            "telephone_number": "718-258-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JASON",
        "middle_name": "MATHEW",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.