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

Brooke Tedesco

Individual provider Physical Therapist · NPI 1154121010

Brooke Tedesco is a Physical Therapist in Private Practice in Melville, New York. Qualified in 2024, 2 years ago. Practices with Achieve at Home Physical Therapy PLLC, a 17-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

7 Jagger Ct
Melville, NY 11747-3299
Phone: (516) 449-1441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 052791 (NY)

Record details

NPI number1154121010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address25 Strathmore Rd, Great Neck, NY 11023-1035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Achieve At Home Physical Therapy Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Melville