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

Mr. Jerome A. San Jose

Individual provider Physical Therapist · NPI 1366620569

Mr. Jerome A. San Jose is a Physical Therapist in Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

4150 78th St Apt 514
Elmhurst, NY 11373-1950
Phone: (347) 605-8285
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 027253-1 (NY)

Record details

NPI number1366620569
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2008
Last updated in NPPESNovember 26, 2014

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