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

Individual provider Physical Therapist · NPI 1063651180

Patrick Joseph Bustamante, PT is a Physical Therapist in Private Practice in New York, New York. Qualified in 2025, 1 year ago. Practices with Spear Physical and Occupational Therapy, LLC, a 577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

102 Madison Ave Fl 8
New York, NY 10016-7584
Phone: (212) 759-2282
Fax: (212) 379-2123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3804 31st Ave, Astoria, NY 11103-3800 — (718) 726-0404

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 031075 (NY)

Record details

NPI number1063651180
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 12, 2009
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Spear Physical And Occupational Therapy, Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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