Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Irsam Yape Doligon, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1417326067

Irsam Yape Doligon, PHYSICALTHERAPIST is registered under Physical Therapist in Private Practice in Bronx, New York. Qualified in 1999, 27 years ago. Practices with Evergreen Physical Therapy PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

245 E 198th St
Bronx, NY 10458
Phone: (347) 270-9243
Fax: (347) 270-8244
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 009363 (NY)
Physical Therapist Taxonomy 225100000X · Licence 047656 (NY)

Record details

NPI number1417326067
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedSeptember 24, 2015
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Evergreen Physical Therapy Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Evergreen Physical Therapy PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Bronx