Organization Active NPI

J & N Rehab Physical Therapy PLLC

  • Physical Therapist
  • Massapequa, NY
National Provider Identifier
1902662885
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
J & N REHAB PHYSICAL THERAPY PLLC
Practice address
143 Massachusetts Ave
Massapequa, NY 11758-4111
Phone
(917) 916-6745
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Mr. Jesus Josef Cabitac Jr., PTNPI 1972706018
Title
Owner
Phone
(917) 916-6745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

143 Massachusetts Ave
Massapequa, NY 11758-4111

Mailing address

143 Massachusetts Ave
Massapequa, NY 11758-4111
Phone (917) 916-6745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241111000168 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254865504 Receives reassigned benefits from 1 practitioner
Practice locations: Massapequa, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1902662885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 MASSACHUSETTS AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584111",
            "telephone_number": "917-916-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 MASSACHUSETTS AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584111",
            "telephone_number": "917-916-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & N REHAB PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "CABITAC",
        "authorized_official_first_name": "JESUS JOSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-916-6745",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.