JERICO VINCENT ESCUDERO VILLARAMA
NPI 1780470625
Physical Therapist in Great Neck, NY

Active since April 17, 2025Accepts Medicare Assignment
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021(516) 829-0030(516) 466-7723 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jerico Vincent Escudero Villarama NPPES

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

JERICO VINCENT ESCUDERO VILLARAMA (NPI 1780470625) is an individual physical therapist in Great Neck, New York, licensed in New York (046220) and active in the NPI registry since April 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1780470625
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJERICO VINCENT ESCUDERO VILLARAMA
Location Address475 NORTHERN BLVD STE 11Great Neck, NY 11021-4802
Mailing Address4051 69th StWoodside, NY 11377-3835
Fax(516) 466-7723
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1780470625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 046220
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
475 NORTHERN BLVD STE 11, Great Neck, NY 11021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jerico Vincent Escudero Villarama is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153830443
PECOS Enrollment IDI20250529002994

Medicare Billing Reassignments

2

Medicare enrollment records show Jerico Vincent Villarama reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
475 NORTHERN BLVD, STE 11
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
Occupational Therapist
800 E GATE BLVD
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • 711 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021

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 Jerico Vincent Villarama's NPI number?

The NPI number for Jerico Vincent Villarama is 1780470625. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Jerico Vincent Villarama located?

Jerico Vincent Villarama practices at 475 Northern Blvd Ste 11, Great Neck, NY 11021. The listed phone number is (516) 829-0030.

What is Jerico Vincent Villarama's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jerico Vincent Villarama enrolled in Medicare?

Yes. Jerico Vincent Villarama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jerico Vincent Villarama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerico Vincent Villarama reassigns Medicare benefits to 2 organizations: Reddy Care Physical Therapy PC (Great Neck, NY) and Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC (Garden City, NY). Each 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 Jerico Vincent Villarama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerico Vincent Villarama was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.