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

Stephanie Idjadi

Individual provider Physical Therapist · NPI 1427429489

Stephanie Idjadi is a Physical Therapist in Private Practice in Great Neck, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2015, 11 years ago. Practices with Reddy Care Physical Therapy PC, a 139-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4819
Phone: (516) 829-0030
Fax: (516) 466-7723
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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 039112-1 (NY)

Record details

NPI number1427429489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2015
Last updated in NPPESOctober 15, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2015 (11 years in practice)
Group practice Reddy Care Physical Therapy Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck