Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Ebisuzaki

Individual provider Physical Therapist · NPI 1043196801

Brian Ebisuzaki is a Physical Therapist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

915 Commonwealth Ave
Boston, MA 02215-1394
Phone: (617) 358-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL88649 (MA)

Record details

NPI number1043196801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 13, 2025
Mailing address2106 Blackwood Dr, San Pablo, CA 94806-1005

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