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

Individual provider Physical Therapy Assistant · NPI 1083328751

Jan Kevyn Maxino Tupaz, PT 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?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

799 Morris Park Ave
Bronx, NY 10462-3604
Phone: (718) 684-6300
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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 014731-01 (NY)

Record details

NPI number1083328751
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 9, 2023
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

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