Active NPIIndividual providerSole proprietor

Dr. Juan S Victoria

Physical Therapist in Buzzards Bay, Massachusetts

NPI Number1962018960
Practice location
146 Macarthur Blvd, Buzzards Bay, MA 02532-3902
Fax
—
Last updated
September 13, 2021

Juan Sebastian Victoria is a Physical Therapist based in Buzzards Bay, MA. Juan Sebastian Victoria practices in Buzzards Bay, MA. The NPI Number for Juan Sebastian Victoria is 1962018960 and holds a License No. 046316 (NY). The current practice location address for Juan Sebastian Victoria is 146 Macarthur Blvd, Buzzards Bay, MA 02532-3902 and can be reached out via phone at 508-759-8880.

Provider Profile Details

NPI Number
1962018960
Provider Name
Juan Sebastian Victoria
Provider Entity Type
Individual
Gender
Male
Address
146 Macarthur Blvd, Buzzards Bay, MA 02532-3902
Phone Number
508-759-8880
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2020
Last Update Date
September 13, 2021
Certification Date
September 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
146 Macarthur Blvd
Buzzards Bay, MA 02532-3902
Zip
02532-3902
Phone Number
508-759-8880
Buzzards Bay, MA 02532Get directions →

Provider Business Mailing Address Details

Address
4 Helen St
Ellenville, NY 12428-2010
City
Ellenville
State
NY
Zip
12428-2010
Phone Number
845-699-0632

License Information

License Number (1)
046316
License State (1)
NY
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
25775
License State (2)
MA
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Juan S Victoria?

The NPI number of Dr. Juan S Victoria is 1962018960. It was assigned on September 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Juan S Victoria?

Dr. Juan S Victoria is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 046316.

Where does Dr. Juan S Victoria practice?

The practice location is 146 Macarthur Blvd, Buzzards Bay, MA 02532-3902. The office can be reached at 508-759-8880 (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 1962018960 directly on the NPPES registry website.

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