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

Mr. Jerry Tom

Individual provider Physical Therapist · NPI 1013378686

Mr. Jerry Tom is a Physical Therapist in Private Practice in Flushing, New York. Qualified in 2002, 24 years ago. Practices with Heritage Home Care LLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11919 Graham Ct
Flushing, NY 11354-1047
Phone: (718) 888-0700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 039314 (NY)

Record details

NPI number1013378686
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 10, 2016
Mailing address3520 97th St, Apt 9, Corona, NY 11368-1758

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Heritage Home Care Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flushing