Individual provider Active NPI

Yelena Abayev, DPT

  • Pediatric Physical Therapist
  • Jamaica, NY
National Provider Identifier
1003061359
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
022234 Issued in NY
Practice address
13701 83Rd Ave Apt 6F
Jamaica, NY 11435-1527
Phone
(917) 597-4146
Fax
(718) 847-0140
NPI assigned
Nov 28, 2008
Last updated
Nov 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 022234 NY Primary
Orthopedic Physical Therapist 2251X0800X 022234 NY

Addresses

Primary practice location

13701 83Rd Ave Apt 6F
Jamaica, NY 11435-1527

Mailing address

13701 83Rd Ave Apt 6F
Jamaica, NY 11435-1527
Phone (917) 597-4146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227830400000",
    "number": "1003061359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 83RD AVE APT 6F",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351527",
            "telephone_number": "917-597-4146",
            "fax_number": "718-847-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 83RD AVE APT 6F",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351527",
            "telephone_number": "917-597-4146",
            "fax_number": "718-847-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAYEV",
        "first_name": "YELENA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-28",
        "last_updated": "2008-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "022234",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "022234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; 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.