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

Mr. Jivan Ray Leonida Resano, PTA

Individual provider Physical Therapy Assistant · NPI 1659148542

Mr. Jivan Ray Leonida Resano, PTA is a Physical Therapy Assistant in Woodhaven, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
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

9128 Park Ln S
Woodhaven, NY 11421-1432
Phone: (808) 342-4208
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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 · Licence 014020 (NY)

Record details

NPI number1659148542
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

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