Stephanie Idjadi, - Medicare Physical Therapist in Great Neck, NY

Stephanie Idjadi, is a medicare enrolled "Physical Therapist" provider in Great Neck, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2015 and has 9 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Reddy Care Physical Therapy Pc and her current practice location is 475 Northern Blvd, Suite 11, Great Neck, New York. You can reach out to her office (for appointments etc.) via phone at (516) 829-0030.

Stephanie Idjadi is licensed to practice in New York (license number 039112-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427429489.

Contact Information

Stephanie Idjadi,
475 Northern Blvd, Suite 11,
Great Neck, NY 11021-4819
(516) 829-0030
(516) 466-7723



Healthcare Provider's Profile

Full NameStephanie Idjadi
GenderFemale
SpecialityPhysical Therapy
Experience9 Years
Location475 Northern Blvd, Great Neck, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephanie Idjadi attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2015
  NPI Data:
  • NPI Number: 1427429489
  • Provider Enumeration Date: 10/15/2015
  • Last Update Date: 10/15/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7416266648
  • Enrollment ID: I20151028002893

Medical Identifiers

Medical identifiers for Stephanie Idjadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427429489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 039112-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Reddy Care Physical Therapy Pc5890685986107

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Idjadi allows following entities to bill medicare on her behalf.
Provider NameReddy Care Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1932171097
PECOS PAC ID: 5890685986
Enrollment ID: O20150511000611

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Idjadi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Idjadi,
475 Northern Blvd, Suite 11,
Great Neck, NY 11021-4819

Ph: (516) 829-0030
Stephanie Idjadi,
475 Northern Blvd, Suite 11,
Great Neck, NY 11021-4819

Ph: (516) 829-0030

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Physical Therapist in Great Neck, NY

Ms. Susan Carol Lenihan, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Meng Liu,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Sri Valli Bolla, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    
Dr. Joseph Weisberg, PHD PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Larch Dr, Great Neck, NY 11021
Phone: 516-482-8016    Fax: 516-482-8016
Sports Pt Of Manhasset
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 225 Community Drive, Suite 10 Sports Physical Therapy Of Manhasset, Great Neck, NY 11021
Phone: 516-829-7639    Fax: 516-829-7352
Angela J Bailey-hardy, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd, Suite 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Dr. Mithun Mamoottil Abraham, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723

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