MEDICARE: TRUE STRIDE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1336094853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE STRIDE LLC

Provider Business Mailing Address
First Line	:	107 ORMSBY AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-4040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 JOURNAL SQUARE PLAZA
Second Line	:	SUITE #502
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306
Country	:	US
Telephone Number	:	201-763-7521
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JONATHAN MEKHAEL
Credential	:	DPT
Telephone Number	:	347-217-8551

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	05/26/2026

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Directions to “TRUE STRIDE LLC ” Practice Location

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