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

Kyle Paolo Gorriceta Suarez

Individual provider Physical Therapist · NPI 1003761065

Kyle Paolo Gorriceta Suarez is a Physical Therapist in Private Practice in Bronx, New York. Qualified in 2020, 6 years ago. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2026

Practice location Address checks out

1981 Jerome Ave
Bronx, NY 10453-1803
Phone: (718) 589-2200
Fax: (718) 589-2205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 052360 (NY)

Record details

NPI number1003761065
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address1981 Jerome Ave, Bronx, NY 10453-1803

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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