Mitchel Vincent Abella Antigua, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044496 Issued in NY

Practice address

7215 Grand Ave
Maspeth, NY 11378-1575

Phone

(718) 803-2058

NPI assigned

Feb 25, 2022

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Physical Therapy Services PCGroup PAC ID 4486087442, 27 clinicians

Innovative Rehabilitation Consultant Medical PCGroup PAC ID 9739350695, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment Care Compare group NPD
• Innovative Rehabilitation Consultant Medical PC

  • Pain Clinic/Center
  • Rego Park, NY
  • NPI 1770880403
  Medicare reassignment Care Compare group NPD
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment NPD
• Montefiore Medical Center

  dba Montefiore Community Pharmacy @ CHAM

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Patriot Family Medical Associates PLLC

  • Family Medicine Physician
  • Valley Stream, NY
  • NPI 1811031776
  NPD
• Visiting PT OT Services PLLC

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1285232082
  NPD

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1164178356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780173",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113780173",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781575",
            "telephone_number": "718-803-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Saint Nicholas Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113852296",
            "country_code": "US",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTIGUA",
        "first_name": "MITCHEL VINCENT",
        "middle_name": "ABELLA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "044496",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ursula E Alexis, OTA
• All Health DME Inc
• All People's Diagnostic Medical Care, P.C.
• Renato F Ambeguia, P.T.
• Lisa Amendola
• Michele C Aparo, MS SLP, TSSLD
• Wanda Arden, DDS
• Pradeepa Arivazhagan, MD
• Pilar Elena Arzayus, LMSW
• Armand Varujan Asadourian, MD

• Physical Therapist in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.