Jefferson Sports & Physical Therapy, Pc - Medicare Physical Therapist in Manorville, NY

Jefferson Sports & Physical Therapy, Pc is a medicare enrolled "Physical Therapist" provider in Manorville, New York. Their current practice location is 460 County Road 111, #15, Manorville, New York. You can reach out to their office (for appointments etc.) via phone at (631) 909-8712.

Jefferson Sports & Physical Therapy, Pc is licensed to practice in New York (license number 007458) and it also participates in the medicare program. Jefferson Sports & Physical Therapy, Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1407083686.

Contact Information

Jefferson Sports & Physical Therapy, Pc
460 County Road 111, #15,
Manorville, NY 11949
(631) 909-8712
(631) 909-8714

Map and Direction




Healthcare Provider's Profile

Full NameJefferson Sports & Physical Therapy, Pc
TypeFacility
SpecialityPhysical Therapist
Location460 County Road 111, Manorville, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407083686
  • Provider Enumeration Date: 06/16/2009
  • Last Update Date: 07/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103963558
  • Enrollment ID: O20091016000550

Medical Identifiers

Medical identifiers for Jefferson Sports & Physical Therapy, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407083686NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 007458 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jefferson Sports & Physical Therapy, Pc acts as a billing entity for following providers:
Provider NameBrian J Heim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033168687
PECOS PAC ID: 2567509953
Enrollment ID: I20091016000027
Provider NameThomas Alan Derosa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396005518
PECOS PAC ID: 5092967497
Enrollment ID: I20121211000463
Provider NameMatthew Thomas Heim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760874812
PECOS PAC ID: 8123346871
Enrollment ID: I20150409001848

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jefferson Sports & Physical Therapy, Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jefferson Sports & Physical Therapy, Pc
460 County Road 111, #15,
Manorville, NY 11949

Ph: (631) 909-8712
Jefferson Sports & Physical Therapy, Pc
460 County Road 111, #15,
Manorville, NY 11949

Ph: (631) 909-8712

Reviews and Comments


Physical Therapist in Manorville, NY

Joan Dash,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5 Tee View Ct, Manorville, NY 11949
Phone: 631-874-3032    Fax: 631-874-4105
Risa Halpern, PT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 5 Tee View Ct, Manorville, NY 11949
Phone: 631-874-3032    
Patricia Cooney,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 5 Tee View Ct, Manorville, NY 11949
Phone: 631-874-3032    Fax: 631-874-4105
Lisa M Smith, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 33 Foreston Cir, Manorville, NY 11949
Phone: 631-874-9198    Fax: 631-792-1103
Alexandra Galiano-presti,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5 Tee View Ct, Manorville, NY 11949
Phone: 631-874-3032    Fax: 631-874-4105
Mr. Christopher Michael Gallagher, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4 Old Neck Ct, Manorville, NY 11949
Phone: 631-874-0282    
Kristin Votteler, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 221 N Sunrise Service Rd, Manorville, NY 11949
Phone: 631-878-8900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.