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

Individual provider Physical Therapy Assistant · NPI 1235829144

Edwin Gituayan Luceno, PTA is a Physical Therapy Assistant in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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

2444 Beaumont Ave
Bronx, NY 10458-6548
Phone: (347) 679-7078
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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 013202-02 (NY)

Record details

NPI number1235829144
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 12, 2023
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023
Mailing address2444 Beaumont Ave, Bronx, NY 10458-6548

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