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

Individual provider Physical Therapist · NPI 1639454671

Edison Bautista Cruz, PT is a Physical Therapist in Bronx, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2940 Grand Concourse Ste 1A
Bronx, NY 10458-2611
Phone: (718) 684-2516
Fax: (718) 684-2518
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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 033665-1 (NY)

Record details

NPI number1639454671
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 20, 2011
Last updated in NPPESOctober 4, 2016

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