Individual provider Active NPI

Jose Ihada, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1881672566
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018468 Issued in NY
Practice address
1221 Jerome Ave
Bronx, NY 10452-3301
Phone
(718) 538-8343
Fax
(718) 538-8356
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 018468 NY Primary

Addresses

Primary practice location

1221 Jerome Ave
Bronx, NY 10452-3301

Mailing address

120 Newham Ave
Brentwood, NY 11717-5624
Phone (800) 364-0689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000792 NY Practitioner - Physical Therapist in Private Practice 1254385222 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018468NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Rehabilitation Inc Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients

Locations

1221 Jerome Ave
Bronx, NY 10452
Phone (718) 358-8343

Organizations & group practices 1

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881672566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NEWHAM AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175624",
            "telephone_number": "800-364-0689",
            "fax_number": "888-552-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523301",
            "telephone_number": "718-538-8343",
            "fax_number": "718-538-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHADA",
        "first_name": "JOSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.