Individual provider Active NPI

Jessica Kathryn Lebduska, MS, DPT, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1902106552
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62030007 Issued in NY
Practice address
71 Ocean Pkwy Apt 6J
Brooklyn, NY 11218-1832
Phone
(315) 657-7645
NPI assigned
Oct 29, 2010
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 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 62030007 NY Primary

Addresses

Primary practice location

71 Ocean Pkwy Apt 6J
Brooklyn, NY 11218-1832

Mailing address

71 Ocean Pkwy Apt 6J
Brooklyn, NY 11218-1832
Phone (315) 657-7645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
62030007NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1902106552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 OCEAN PKWY APT 6J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181832",
            "telephone_number": "315-657-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 OCEAN PKWY APT 6J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181832",
            "telephone_number": "315-657-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBDUSKA",
        "first_name": "JESSICA",
        "middle_name": "KATHRYN",
        "credential": "MS, DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62030007",
            "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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.