Abante Physical Therapy PC
Organization Active NPI Physical Therapist · Woodside, NY
NPI 1114733474 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1114733474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ABANTE PHYSICAL THERAPY PC
- Practice address
- 5034 69TH St
Woodside, NY 11377-7541 - Phone
- (718) 606-0366
- NPI assigned
- Dec 10, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Randell Jacob Abante
- Title
- DPT/President
- Phone
- (347) 462-7486
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250121002535 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7416486451 |
Receives reassigned benefits from 1 practitioner Practice locations: Brooklyn, NY; Woodside, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
5034 69TH St
Woodside, NY 11377-7541
Mailing address
9430 54TH Ave
Elmhurst, NY 11373-4614
Other providers in Woodside, NY
- 60TH Dental Care
- 63 St Medical Heathcare PC
- A.R.C. Physical Therapy, PC
- Aac Physical Therapy PC
- Monica Abadir
- Eman H Abbas
- Hossam Siefallah Abbas Sr.
- Syeda A Abbas
- Reilly Abbott
- Abc Behavior Change Incorporated
All providers in Woodside, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.