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

Jay Sanvictores Icasiano

Individual provider Physical Therapy Assistant · NPI 1255904728

Jay Sanvictores Icasiano is a Physical Therapy Assistant in Wabash, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2021
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Practice location Address checks out

1955 Vernon St
Wabash, IN 46992-4026
Phone: (260) 563-8438
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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 06006321 (IN)

Record details

NPI number1255904728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2021
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021

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