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

Individual provider Physical Therapist · NPI 1225781677

Lorenzo Raphael Palacios Bernal, PTA is a Physical Therapist in Private Practice in Elmhurst, New York. Qualified in 2015, 11 years ago. Practices with Optimum Therapeutics PT and OT PLLC, a 43-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2022
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

8808 Justice Ave Apt 5K
Elmhurst, NY 11373-5333
Phone: (929) 346-8212
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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 04036901 (NY)

Record details

NPI number1225781677
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 26, 2022
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Optimum Therapeutics Pt And Ot Pllc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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