- Practice location
- 799 Morris Park Ave, Bronx, NY 10462-3604
- Phone
- 718-684-6300
- Fax
- —
- Last updated
- October 6, 2025
Jan Kevyn Maxino Tupaz is a Physical Therapy Assistant based in Bronx, NY. Jan Kevyn Maxino Tupaz practices in Bronx, NY and has the professional credentials of PT. The NPI Number for Jan Kevyn Maxino Tupaz is 1083328751 and holds a License No. 014731-01 (NY). The current practice location address for Jan Kevyn Maxino Tupaz is 799 Morris Park Ave, Bronx, NY 10462-3604 and can be reached out via phone at 718-684-6300.
Provider Profile Details
- NPI Number
- 1083328751
- Provider Name
- Jan Kevyn Maxino Tupaz
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 799 Morris Park Ave, Bronx, NY 10462-3604
- Phone Number
- 718-684-6300
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 9, 2023
- Last Update Date
- October 6, 2025
- Certification Date
- October 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 799 Morris Park Ave
Bronx, NY 10462-3604 - City
- Bronx
- State
- New York
- Zip
- 10462-3604
- Phone Number
- 718-684-6300
Provider Business Mailing Address Details
- Address
- 349 Valley St Fl 3
South Orange, NJ 07079-2857 - City
- South Orange
- State
- NJ
- Zip
- 07079-2857
- Phone Number
- 917-349-6347
License Information
- License Number
- 014731-01
- License State
- NY
- Taxonomy
- Physical Therapy Assistant · 225200000X · 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 Jan Kevyn M Tupaz, PT?
The NPI number of Jan Kevyn M Tupaz, PT is 1083328751. It was assigned on January 9, 2023 and is currently active in the NPPES registry.
What is the specialty of Jan Kevyn M Tupaz, PT?
Jan Kevyn M Tupaz, PT is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 014731-01.
Where does Jan Kevyn M Tupaz, PT practice?
The practice location is 799 Morris Park Ave, Bronx, NY 10462-3604. The office can be reached at 718-684-6300 (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 1083328751 directly on the NPPES registry website.