Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Gleen Bautista Anciro, PT, DPT

Individual provider Physical Therapist · NPI 1174795314

MS. Gleen Bautista Anciro, PT, DPT is a Physical Therapist in Brooklyn, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

769 58th St Ste 1
Brooklyn, NY 11220-5180
Phone: (347) 889-5889
Fax: (347) 889-5873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2041 86th St # C1, Brooklyn, NY 11214-3203 — (347) 889-5889

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 023716 (NY)

Record details

NPI number1174795314
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedMarch 27, 2008
Last updated in NPPESMay 25, 2021
Certification dateMay 14, 2021

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