Active NPI
Jason Mathew Roth, MSPT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BRM Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Evolve Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Babiec & Roth Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Bienetre Medical PC | Physical Therapist | Current | Accepting new patients |
| Utopia Physical Therapy PC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Syosset, NY
- NPI 1457931214
-
- Physical Therapist
- New York, NY
- NPI 1568037257
-
- Physical Therapist
- New York, NY
- NPI 1952288920
-
- Physical Therapist
- Pomona, NY
- NPI 1013022953
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1831323872
-
- Physical Therapist
- Brooklyn, NY
- NPI 1902959976
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.