Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON DISTEFANO, DPT
ActiveJASON DISTEFANO, DPT is a Physical Therapy Assistant healthcare provider located in NORTHPORT, New York. NPI 1609583145 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NORTHPORT, NY
Registration Details
- NPI Number
- 1609583145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2022 (3.791638016949 yrs)
- Last Updated
- Feb 14, 2023
- License
-
050122 (NY)
Practice Information
- Address
-
389 FORT SALONGA RDNORTHPORT, NY, 117683089Browse NY providers · Browse ZIP 11768
- Phone
- 6312610444
- Fax
- 6312613112
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in NORTHPORT, NY
| Name | Credential | NPI |
|---|---|---|
| MS. COLLEEN TALT | PT, MPT, DPT | 1518988872 |
| WILLIAM E. BURNS JR. | P.T. | 1508872250 |
| STELLA E MATIKE | PT | 1396852869 |
| MR. WILLIAM E DETURK | PT | 1649372764 |
| PETER PAUL POWANDA | PT | 1962508077 |
| DR. JUDY PRIVITELLO | PT,DPT | 1841398237 |
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.