Individual provider Active NPI

Jessica D'Erario, DPT

  • Physical Therapist
  • Oceanside, NY
National Provider Identifier
1851864524
Registry record updated Jan 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042619-1 Issued in NY
Practice address
3941 Bea CT
Oceanside, NY 11572-5907
Phone
(516) 459-9439
Fax
(516) 706-2182
NPI assigned
Jan 6, 2019
Last updated
Jan 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2019

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 042619-1 NY Primary

Addresses

Primary practice location

3941 Bea CT
Oceanside, NY 11572-5907

Mailing address

3941 Bea CT
Oceanside, NY 11572-5907
Phone (516) 459-9439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190228001462 NY Practitioner - Physical Therapist in Private Practice 8628317161 Reassigns benefits to 2 organizations
I20260303001905 CT Practitioner - Physical Therapist in Private Practice 8628317161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Physical Therapy and Chiropractic PLLCGroup PAC ID 4486954484, 7 clinicians
Elevate Holding Company, LLCGroup PAC ID 3678836061, 27 clinicians

Practice addresses (Care Compare)

1 Westchester Park Dr
West Harrison, NY 10604-3426
Phone (917) 359-8901

1234 Summer St
Suite 102
Stamford, CT 06905-5558
Phone (203) 653-7269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042619-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Proclinix Sports Physical Therapy Chiropractic Wellness,PLLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Lifetime Physical Therapy & Chiropractic PLLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Ny PT and OT PLLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Elevate Holding Company, LLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients

Locations

19 Old Kings Hwy S
Ste 120
Darien, CT 06820
Phone (201) 621-0050

1234 Summer St
Ste 102
Stamford, CT 06905
Phone (203) 653-7269

5 N Greenwich Rd
Armonk, NY 10504
Phone (914) 690-7629

54 George St
Babylon, NY 11702
Phone (516) 216-5230

820 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 358-8911

820 Hempstead Tpke
Lowr
Franklin Square, NY 11010
Phone (516) 233-2964

650 Wantagh Ave
Ste 2
Levittown, NY 11756
Phone (516) 520-7200

1 Westchester Park Dr
West Harrison, NY 10604
Phone (914) 290-5158

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1851864524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 BEA CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725907",
            "telephone_number": "516-459-9439",
            "fax_number": "516-706-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 BEA CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725907",
            "telephone_number": "516-459-9439",
            "fax_number": "516-706-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ERARIO",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-06",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042619-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; 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.