Jason Intermesoli

Physical Therapist · Patchogue, NY

Individual Active NPI

NPI number 1912736190

Practice location

322 W Main St
Patchogue, NY 11772-3008
Phone
(631) 228-4977

Open in Google Maps

NPI record

NPI
1912736190
Entity type
Individual (Type 1)
Enumeration date
July 29, 2024
Last updated
May 28, 2026
Certified
May 28, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 054022 NY
Orthopedic Physical Therapist 2251X0800X 054022 NY

About Jason Intermesoli

Jason Intermesoli is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 322 W Main St, Patchogue, NY 11772-3008. The NPI number 1912736190 was assigned on July 29, 2024 and the record was last updated on May 28, 2026.

Jason Intermesoli lists 2 licenses in the registry: #054022 (NY) for Physical Therapist; #054022 (NY) for Orthopedic Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Intermesoli?

The NPI number is 1912736190.

What is the phone number of Jason Intermesoli?

The phone number listed for the practice location is (631) 228-4977.

Where is Jason Intermesoli located?

322 W Main St, Patchogue, NY 11772-3008.

What is the taxonomy code for Jason Intermesoli?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapist providers in Patchogue

All Physical Therapist providers in Patchogue, NY →