JERICHO PHYSICAL THERAPY PC
NPI 1053946434
Clinic/Center - Physical Therapy in Jericho, NY

Active since March 06, 2020
366 N BROADWAY STE 405, JERICHO, NY 11753(516) 653-1898(516) 390-4499 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2023, Mar 6, 2020 (2 updates tracked since 2020).

About Jericho Physical Therapy Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERICHO PHYSICAL THERAPY PC (NPI 1053946434) is a healthcare organization registered as a physical therapy in Jericho, New York and active in the NPI registry since March 2020. The organization lists Yanyan Zhao Lee, President, as its authorized official.

NPPES Registry Identity

NPI1053946434
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameJERICHO PHYSICAL THERAPY PC
Location Address366 N BROADWAY STE 405Jericho, NY 11753-2000
Mailing Address366 N Broadway Ste 405Jericho, NY 11753-2000 · (516) 653-1898 · Fax (516) 390-4499
Fax(516) 390-4499
Organization SubpartNo
Authorized OfficialYanyan Zhao LeePresident · (516) 653-1898
Enumeration DateMarch 6, 2020
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1053946434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
366 N BROADWAY STE 405, Jericho, NY 11753

Other Identifiers 1

OtherA100239651NY · Physical Therapy

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jericho Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jericho Physical Therapy PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1548631773
366 N BROADWAY STE 405
Jericho, NY 11753
(516) 653-1898
✔ Accepts Medicare0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jericho Physical Therapy PC's NPI number?

The NPI number for Jericho Physical Therapy PC is 1053946434. It was assigned to this organization in the NPPES registry on March 6, 2020.

Where is Jericho Physical Therapy PC located?

Jericho Physical Therapy PC is located at 366 N Broadway Ste 405, Jericho, NY 11753. The listed phone number is (516) 653-1898.

What is Jericho Physical Therapy PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Jericho Physical Therapy PC enrolled in Medicare?

Yes. Jericho Physical Therapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jericho Physical Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Jericho Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jericho Physical Therapy PC was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.