IndividualActive
Judith Villavicencio, PT
NPI 1922958735 · Geriatric Physical Therapist · Franklin Square, NY
Provider details
- NPI number
- 1922958735
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 027711-01 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
63 Harrison Ave
Franklin Square, NY 11010-3614
Phone: (646) 525-7774
Approximate (ZIP-level) locationGet directions
Mailing address
63 Harrison Ave
Franklin Square, NY 11010-3614
Registry dates
- Enumerated
- 2026-01-31
- Last updated
- 2026-01-31
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.