Jade Physical Therapy PC
Jade Physical Therapy PC is a healthcare organization registered as Physical Therapy Clinic/Center in Copiague, NY, holding Type 2 (organization) NPI 1154666972 since 2012. The authorized official on file is Maricel De Vera, Pt.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154666972 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jade Physical Therapy PC |
| Practice address | 557 OAK ST, Copiague, NY, 11726 |
| Phone | 6314644700 |
| Enumeration date | 2012-12-05 |
| Last updated in NPPES | 2012-12-05 |
Authorized official
| Name | Maricel De Vera |
|---|---|
| Title | Pt |
| Phone | 3479938251 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2000X | Physical Therapy Clinic/Center | Primary | — | NY |
Copy-ready billing details
Provider: Jade Physical Therapy PC NPI: 1154666972 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 557 OAK ST, Copiague, NY, 11726
Verify this record
Cross-check NPI 1154666972 against the authoritative CMS record: view Jade Physical Therapy PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jade Physical Therapy PC?
Who is the authorized official for Jade Physical Therapy PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-12-05.