Active NPI
Jaquon Pipa
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1912725094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 052951-01
- Practice address
- 81 Washington St
Brooklyn, NY 11201-1411 - Phone
- (646) 222-9370
- NPI assigned
- Sep 28, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 052951-01 | NY | Primary |
Addresses
Primary practice location
81 Washington St
Brooklyn, NY 11201-1411
Mailing address
497 Williams Ave
Brooklyn, NY 11207-5105
Phone (917) 863-0014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
81 Washington St
Brooklyn, NY 11201-1411
Phone (646) 222-9370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052951 | NY | MD | Oral and Maxillofacial Pathology Dentist |
| 052951-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spear Physical and Occupational Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466
31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1063454577
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728086400000",
"number": "1912725094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 WILLIAMS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112075105",
"telephone_number": "917-863-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 WASHINGTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011411",
"telephone_number": "646-222-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPA",
"first_name": "JAQUON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-28",
"last_updated": "2024-10-05",
"certification_date": "2024-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "052951-01",
"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 Oct 5, 2024; 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.