Jerricko Andre Taasan, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

055398 Issued in NY

Practice address

10425 88TH Ave
Richmond Hill, NY 11418-2132

Phone

(279) 977-8306

NPI assigned

Jan 2, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1902762982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 88TH AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 88TH AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182132",
            "telephone_number": "279-977-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAASAN",
        "first_name": "JERRICKO ANDRE",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "014377",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "055398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Suyunova
• Mercedes Suyunova
• Sva Pharmacy Corp (Triangle Pharmacy)
• Adelina Sverdlova-Samardin, CCC-SLP
• Steven S Swami, PA
• Anna Isabela Aguirre Tabag
• Daniel Tabaroki, DDS
• Alexia-Petrina Alcantara Tabasa
• Mechie Ann Tagsip
• Paniz Taheri-Fahliani

• Physical Therapist in Richmond Hill, NY
• Providers in Richmond Hill, 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 Jan 2, 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.