IndividualActive
Alejandro Betancourt, PTA
NPI 1609484260 · Physical Therapy Assistant · Jackson Heights, NY
Provider details
- NPI number
- 1609484260
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 012013-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7811 35th Ave Apt 3d
Jackson Heights, NY 11372-2554
Phone: (917) 589-1198
Approximate (ZIP-level) locationGet directions
Mailing address
7811 35th Ave Apt 3d
Jackson Heights, NY 11372-2554
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2020-07-20
- Certified
- 2020-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.