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

Michael Destefano, PTA

Individual provider Physical Therapy Assistant · NPI 1447873369

Michael Destefano, PTA is a Physical Therapy Assistant in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
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

6010 Bay Pkwy Fl 1
Brooklyn, NY 11204-6079
Phone: (718) 283-8962
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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 (NY)

Record details

NPI number1447873369
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020
Mailing address6010 Bay Pkwy Fl 1, Brooklyn, NY 11204-6079

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