Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jade Physical Therapy PC

Organization Physical Therapy Clinic/Center · NPI 1154666972

Jade Physical Therapy PC is a Physical Therapy Clinic/Center in Copiague, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

557 Oak St
Copiague, NY 11726-3215
Phone: (631) 464-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X (NY)

Record details

NPI number1154666972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maricel De Vera — Pt · (347) 993-8251
NPI enumeratedDecember 5, 2012
Last updated in NPPESDecember 5, 2012
Mailing address557 Oak St, Copiague, NY 11726-3215

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