Individual provider · Type 1 NPI

Earvin Ygnacio Lucio Jerez

Physical Therapy Assistant · New York, NY

NPI number 1790612935 Active

Practice location

150 W End Ave Apt 1M
New York, NY 10023-5715

Call (121) 260-0478 Map

Mailing address

231 W 149th St
New York, NY 10039-2704

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X015379-01 (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 1790612935

Earvin Ygnacio Lucio Jerez's National Provider Identifier is 1790612935, issued on May 4, 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 4, 2026.