Jan Kevyn Maxino Tupaz, PT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

014731-01 Issued in NY

Practice address

799 Morris Park Ave
Bronx, NY 10462-3604

Phone

(718) 684-6300

NPI assigned

Jan 9, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1083328751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 VALLEY ST FL 3",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792857",
            "telephone_number": "917-349-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623604",
            "telephone_number": "718-684-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUPAZ",
        "first_name": "JAN KEVYN",
        "middle_name": "MAXINO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "014731-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "799 Morris Park Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104623604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "817 E 180th St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104601305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vinette W Tummings, M.D.
• Janine Marie Tumminia, PT
• Shenglin Tung
• Mariamu Tunkara
• Gerard Michael Tuohy, RPH
• Michael Steven Turadek, PA
• Marion Turay, RN
• Samuel Turay
• Fanny Turbi Baez
• Lydia Nieto Turchioe, DDS

• Physical Therapy Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.