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

Jose Angelo Gracia Niedo, PT

Individual provider Physical Therapist · NPI 1033856869

Jose Angelo Gracia Niedo, PT is a Physical Therapist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022
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

3300 Grant Ave Ste 20
Philadelphia, PA 19114-2632
Phone: (877) 444-2422
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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 PT030094 (PA)

Record details

NPI number1033856869
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 13, 2022
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022

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