- Practice location
- 2 Victory CT, Newburgh, NY 12550-1745
- Phone
- 845-522-5480
- Fax
- —
- Last updated
- June 23, 2024
Ellen Joyce Tabiando Bustillo is a Physical Therapist based in Newburgh, NY. Ellen Joyce Tabiando Bustillo practices in Newburgh, NY and has the professional credentials of PT. The NPI Number for Ellen Joyce Tabiando Bustillo is 1023765336 and holds a License No. 012201 (NY). The current practice location address for Ellen Joyce Tabiando Bustillo is 2 Victory CT, Newburgh, NY 12550-1745 and can be reached out via phone at 845-522-5480.
Provider Profile Details
- NPI Number
- 1023765336
- Provider Name
- Ellen Joyce Tabiando Bustillo
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Victory CT, Newburgh, NY 12550-1745
- Phone Number
- 845-522-5480
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 7, 2022
- Last Update Date
- June 23, 2024
- Certification Date
- June 23, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Victory CT
Newburgh, NY 12550-1745 - City
- Newburgh
- State
- New York
- Zip
- 12550-1745
- Phone Number
- 845-522-5480
Provider Business Mailing Address Details
- Address
- 277 Clinton Ave Apt 6
Kingston, NY 12401-2929 - City
- Kingston
- State
- NY
- Zip
- 12401-2929
- Phone Number
- 949-994-2316
License Information
- License Number (1)
- 012201
- License State (1)
- NY
- Taxonomy (1)
- Physical Therapy Assistant · 225200000X
- License Number (2)
- 044572
- License State (2)
- NY
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Ellen Joyce T Bustillo, PT?
The NPI number of Ms. Ellen Joyce T Bustillo, PT is 1023765336. It was assigned on March 7, 2022 and is currently active in the NPPES registry.
What is the specialty of Ms. Ellen Joyce T Bustillo, PT?
Ms. Ellen Joyce T Bustillo, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 012201.
Where does Ms. Ellen Joyce T Bustillo, PT practice?
The practice location is 2 Victory CT, Newburgh, NY 12550-1745. The office can be reached at 845-522-5480 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023765336 directly on the NPPES registry website.