Healthcare Provider Details

I. General information

NPI: 1750299442
Provider Name (Legal Business Name): SHEILA CRUZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 FULTON STREET
BROOKLYN NY
11238
US

IV. Provider business mailing address

102 MADISON AVE FL 8
NEW YORK NY
10016-7584
US

V. Phone/Fax

Practice location:
  • Phone: 646-337-2760
  • Fax: 212-404-1822
Mailing address:
  • Phone: 212-759-2282
  • Fax: 212-379-2123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number056340
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: