Individual provider · Type 1 NPI

Samuel Vazquez

Physical Therapy Assistant · New York, NY

NPI number 1710818182 Active

Practice location

250 W 93rd St
New York, NY 10025-7391

Fax (516) 466-7723

Mailing address

475 Northern Blvd Ste 37
Great Neck, NY 11021-4802

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X015364 (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 1710818182

Samuel Vazquez's National Provider Identifier is 1710818182, issued on May 26, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in New York, NY. The record was last updated on May 26, 2026.