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Jason Intermesoli

Physical Therapist β€’ Patchogue, NY

Active NPI 1912736190 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

322 W Main St
Patchogue, NY 117723008

Call 6312284977 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

322 W Main St

Patchogue, NY 117723008

Telephone 6312284977
Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll; New York University. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jason Intermesoli has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Patchogue and New York

57 active clinicians are listed under Physical Therapist with a practice address in Patchogue, NY (21,785 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Patchogue

1.8% of these 57 clinicians have the CMS telehealth indicator.

40.4% of these 57 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-28
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES NY 054022

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Physical Therapist - Orthopedic

NUCC Taxonomy Code: 2251X0800X

License # reported to NPPES NY 054022

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20250505000504

Enrollment State Jurisdiction

NY

PECOS Control ID

4183141138

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

New York University

550 1st Ave, New York, NY 100166402

Phone: 2122637300

New York University

9785 Queens Blvd, Rego Park, NY 113743319

Phone: 7182619100

Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll

745 Route 25a, Rocky Point, NY 117786603

Phone: 6318496000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1003598418

Doctor of Physical Therapy

Dr. Kathleen Bailey , DPT

Physical Therapist

NPI 1083200927

Doctor of Physical Therapy

NPI 1992497945

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2026

Physical Therapist (license number reported to NPPES: NY 054022)

βœ…
NPI Profile Active July 29, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 29, 2024

Registered at 322 W MAIN ST, PATCHOGUE, NY 117723008 (Tel: 6312284977)

πŸ“
Business Mailing Address (Initial Record) July 29, 2024

Registered at 322 W MAIN ST, PATCHOGUE, NY 117723008 (Tel: 6312284977)

πŸ‘€
Provider Name / Credentials (Initial Record) July 29, 2024

Recorded as JASON INTERMESOLI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2024

Physical Therapist

🟒
Initial NPI Registration & Enumeration July 29, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912736190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2024
Last Update: May 28, 2026
Sole Proprietor: No

Other Physical Therapists in Patchogue

All Physical Therapists in Patchogue

Mailing Address

322 W Main St

Patchogue, NY 117723008

Phone: 6312284977

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.