JASON DAVID BRETCKO (DPT) – Physical Therapist, NPI 1104055045

JASON DAVID BRETCKO (DPT) is a healthcare provider. based in Lake worth, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 043062 (NY). The NPI Number for JASON DAVID BRETCKO (DPT) is 1104055045

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JASON DAVID BRETCKO (DPT)
NPI
1104055045
Phone
(561) 432-0111
Address
6169 JOG RD
Enumeration Date
14 July 2009
Last Update Date
16 November 2018

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
7162509999
Graduation Year
2009 (17 years ago)
PAC ID
7315108107
Group Practice PAC ID
2062491517
Professional Enrollment ID
I20181206000684
Address ID
NY142261738AM3925XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

8,725 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NY

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Provider Addresses for JASON DAVID BRETCKO (DPT)

  • Jog Road, Worth County, Georgia, 31791, United States

    SUITE A11

    LAKE WORTH, FL 334676579

    Phone: (561) 432-0111

    Fax: (561) 432-1075

    Type: Mailing

  • 3925, Sheridan Drive, Amherst, Erie County, New York, 14226, United States

    AMHERST, NY 142261738

    Phone: (716) 250-6492

    Fax: (716) 250-4178

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181206000684IPhysical Therapist In Private PracticeNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes21027$0
97161Evaluation for physical therapy, typically 20 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 33467)

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Provider's Procedures

JASON DAVID BRETCKO (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3678171

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062491517View full group profile
NameSpecialtyState
Physician AssistantNY
Physician AssistantPA
Orthopedic SurgeryNY
Physician AssistantNY
Orthopedic SurgeryNY
P O D I A T R YNY
Orthopedic Surgery, Hand SurgeryNY
-NY
Physician AssistantNY
-NY

Reviews

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Frequently asked questions

How is JASON DAVID BRETCKO (DPT) identified in CMS data?
CMS-hosted NPPES data lists JASON DAVID BRETCKO (DPT) with NPI 1104055045.
Does the file indicate JASON DAVID BRETCKO (DPT) is practicing under active NPI?
Directory data currently reports JASON DAVID BRETCKO (DPT) as active.
What is JASON DAVID BRETCKO (DPT)'s primary classification?
Physical Therapist is the headline specialty for JASON DAVID BRETCKO (DPT) here. Clinical services aligned with this taxonomy classification.
Does JASON DAVID BRETCKO (DPT) list a practice location?
Patients near Lake Worth, Florida may find JASON DAVID BRETCKO (DPT) in results; validate coverage separately.
Is the information about JASON DAVID BRETCKO (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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