Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE P. SEBASTIEN ELLISON, PT
Active Sole ProprietorMR. BRUCE P. SEBASTIEN ELLISON, PT is a Physical Therapy Assistant healthcare provider located in BAY SHORE, New York. NPI 1114621604 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BAY SHORE, NY
Registration Details
- NPI Number
- 1114621604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2023 (3.3697169681014 yrs)
- Last Updated
- Mar 28, 2023
- License
-
010457-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1823 5TH AVEBAY SHORE, NY, 117061721Browse NY providers · Browse ZIP 11706
- Phone
- 6312919975
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BAY SHORE, NY
| Name | Credential | NPI |
|---|---|---|
| DEIRDRE FOUDY | D.P.T. | 1407823222 |
| MS. CHRISTINA A BURKE | PT | 1912957085 |
| MS. LISA BECKER LIPNER | PT | 1033164132 |
| GERARD PAULINO | PT | 1275588238 |
| EDWARD W KALTEN JR. | PT | 1932125689 |
| NICHOLAS POSILLICO | PT | 1750395158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.