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

Ederly Heriberto Jimenez Dominguez, PTA

Individual provider Physical Therapy Assistant · NPI 1487366860

Ederly Heriberto Jimenez Dominguez, PTA is a Physical Therapy Assistant in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

49 Montrose Ave
Brooklyn, NY 11206-2580
Phone: (718) 473-3808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 010498 (NY)

Record details

NPI number1487366860
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 17, 2022

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