Warda Javaid, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036773 Issued in NY

Practice address

223 Walt Whitman Rd
Huntington Station, NY 11746-4118

Phone

(631) 428-0334

NPI assigned

Apr 3, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Long Island Physical Therapy PC

  • Physical Therapist
  • Huntington Station, NY
  • NPI 1679239057
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1902269277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 NEW YORK AVE",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471502",
            "telephone_number": "631-428-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WALT WHITMAN RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464118",
            "telephone_number": "631-428-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAID",
        "first_name": "WARDA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Isme, L.AC
• Colleen Ann Itzkowitz, LMSW
• Dale D Jabagat, PT
• Jacques Medical Services PLLC
• Marie Carmel Jacques, M.D.
• Javier F Vieytez MD PC
• Kathleen Jensen
• Liam Jensen, RN
• Melanie I Joaquin, LMHC-LP
• Suja S Johnkutty, MD

• Physical Therapist in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.