Wendell Jamias Abad
Individual provider Active NPI Physical Therapy Assistant · Jackson Heights, NY
NPI 1134732142 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1134732142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 007790-1 (NY)
- Practice address
- 90-33 Elmhurst Ave.
Jackson Heights, NY 11372 - Phone
- (718) 565-2970
- NPI assigned
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007790-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant |
225200000X | 007790-1 | NY | Yes |
Addresses
Primary practice location
90-33 Elmhurst Ave.
Jackson Heights, NY 11372
Mailing address
90-33 Elmhurst Ave.
Jackson Heights, NY 11372
Phone (718) 565-2970
Other providers in Jackson Heights, NY
- 90-15 Roosevelt Pharmacy Corp
- 9301 Health Medical Corner PC
- 9317 Medical Office PC
- A1 Medicine P.C.
- Richard Allen Aaron
- Igor Abayev
- Marya Abbas
- Saffiyah Abbasi
- Syed A Abdali
- Mazol Abdurakhmanov
All providers in Jackson Heights, NY · Physical Therapy Assistant 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 Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.