Jeremy Scott Abramson, P.T.
Individual provider Active NPI Physical Therapist · Cicero, IL
NPI 1114133279 · NPPES record last updated Apr 16, 2018
Key facts
- NPI
- 1114133279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070016822 (IL)
- Practice address
- 1621 S Cicero Ave
Cicero, IL 60804-1520 - Phone
- (708) 658-1785
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ergo Physical Therapy PC
Practice addresses (Care Compare)
10740 Queens Blvd
Suite 207
Forest Hills, NY 11375-4252
Phone (718) 261-3100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141020001675 | NY | Practitioner - Physical Therapist in Private Practice | 4981670254 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038229 | NY | MD | Pharmacist |
| PT22233 | FL | MD | Physical Therapist |
| 2570 | HI | MD | Physical Therapist |
| 1994 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current |
Accepting new patients |
| Ergo Physical Therapy, PC | Physical Therapist | Current |
Accepting new patients |
| Health Sos PT PC | Physical Therapist | Current |
Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Past |
Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
10740 Queens Blvd
Ste 207
Forest Hills, NY 11375
Phone (718) 261-3100
1255 5th Ave
Apt 6L
New York, NY 10029
Phone (914) 390-0080
20809 Union Tpke
Oakland Gdns, NY 11364
Phone (718) 479-6370
20911 Union Tpke
Oakland Gdns, NY 11364
Phone (718) 468-9995
Interoperability endpoints
- jeremy.abramson.p2@direct.athleticoltd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 038229 | NY | |
| Physical Therapist | 225100000X | 2570 | HI | |
| Physical Therapist | 225100000X | 7109 | AZ | |
| Physical Therapist | 225100000X | 5501006783 | MI | |
| Physical Therapist | 225100000X | 1994 | NV | |
| Physical Therapist | 225100000X | PT22233 | FL | |
| Physical Therapist | 225100000X | 070016822 | IL | Yes |
Addresses
Primary practice location
1621 S Cicero Ave
Cicero, IL 60804-1520
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859
Other providers in Cicero, IL
- Narwilito Barrales Abistado
- Accelerated Rehabilitation Centers, LTD
- Access Community Health Network
- Bridget Slevin Adamjee
- Mary A Adams
- Sofia M Adawy
All providers in Cicero, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.