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

Lynne Distefano, PTA

Individual provider Physical Therapy Assistant · NPI 1861215931

Lynne Distefano, PTA is a Physical Therapy Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4363 Amboy Rd
Staten Island, NY 10312-3819
Phone: (718) 984-8400
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 005177 (NY)

Record details

NPI number1861215931
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Other providers in Staten Island