Dr. Juan Sebastian Victoria
Physical Therapist in Buzzards Bay, MA. Individual provider (NPI-1).
NPI number1962018960
StatusActive
Last updated in NPPESSep 13, 2021
Details
- NPI
- 1962018960
- Entity type
- Individual (NPI-1)
- Name
- Dr. Juan Sebastian Victoria
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2020
- Certification date
- Sep 13, 2021
- Last updated
- Sep 13, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 25775 | MA | Yes |
| 225100000X | Physical Therapist | 046316 | NY |
Practice location
146 Macarthur BlvdBuzzards Bay, MA 02532-3902
Phone 508-759-8880
Mailing address
4 Helen StEllenville, NY 12428-2010
Phone 845-699-0632
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Buzzards Bay, MA
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- Monique Marie Plaud-Veeder, DPTNPI 1639457609
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All 9 Physical Therapist providers in Buzzards Bay · All 169 providers in Buzzards Bay
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