Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Victor Michael Coscolluela Gaza, PT, DPT

Individual provider Physical Therapist · NPI 1164245072

Victor Michael Coscolluela Gaza, PT, DPT is a Physical Therapist in New York, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2024
Specialties on file
2
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

304 W 117th St
New York, NY 10026-1573
Phone: (917) 493-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 052248 (NY)
Physical Therapist Taxonomy 225100000X · Licence 40QA02290100 (NJ)

Record details

NPI number1164245072
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedNovember 7, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

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