Individual provider Active NPI

Pamela Joy D Abantao, PT

  • Physical Therapist
  • Amherst, NY
National Provider Identifier
1023876869
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04031401 Issued in NY
Practice address
42 Amherstdale Rd
Amherst, NY 14226-4410
Phone
(347) 226-8059
NPI assigned
Mar 7, 2024
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 04031401 NY Primary

Addresses

Primary practice location

42 Amherstdale Rd
Amherst, NY 14226-4410

Mailing address

42 Amherstdale Rd
Amherst, NY 14226-4410
Phone (347) 226-8059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412004047 NY Practitioner - Physical Therapist in Private Practice 4880033646 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040314NYMDDentist
04031401NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services PT and OT Physical Therapist CurrentSince Mar 26, 2024 Accepting new patients
Seneca Cayuga Counties Chapter Nysarc, Inc. Single Specialty CurrentSince Oct 14, 2024 Accepting new patients
Therapy Services PT and OT Physical Therapist Current Accepting new patients
Stern at Home Physical Therapy PC Single Specialty CurrentSince Jan 10, 2025 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1521 Clark Street Rd
Auburn, NY 13021
Phone (315) 253-7331

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

1083 Waterloo Geneva Rd
Waterloo, NY 13165
Phone (315) 539-4049

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1023876869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 AMHERSTDALE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264410",
            "telephone_number": "347-226-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 AMHERSTDALE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264410",
            "telephone_number": "347-226-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABANTAO",
        "first_name": "PAMELA JOY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04031401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.