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

Jerico Vincent Escudero Villarama

Individual provider Physical Therapist · NPI 1780470625

Jerico Vincent Escudero Villarama is registered under Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2024, 2 years ago. Practices with Reddy Care Physical Therapy PC, a 139-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
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 046220 (NY)

Record details

NPI number1780470625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Reddy Care Physical Therapy Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Reddy Care Physical Therapy PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 139 clinicians in the practice; 12 are shown here.

Other providers in Great Neck