Individual provider · Type 1 NPI

Jan Kevyn Maxino Tupaz, PT

Physical Therapy Assistant · Bronx, NY

NPI number 1083328751 Active

Practice location

799 Morris Park Ave
Bronx, NY 10462-3604

Call (718) 684-6300 Map

Mailing address

349 Valley St Fl 3
South Orange, NJ 07079-2857

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X014731-01 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083328751

Jan Kevyn Maxino Tupaz, PT's National Provider Identifier is 1083328751, issued on Jan 9, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bronx, NY. The record was last updated on Oct 6, 2025.