Active NPI
Abraham Gabriel Austin
- Physical Therapy Assistant
- Uniondale, NY
National Provider Identifier
1184388381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 010113
- Practice address
- 986 Jerusalem Ave
Uniondale, NY 11553-3005 - Phone
- (718) 377-5000
- Fax
- (718) 377-5001
- NPI assigned
- Oct 25, 2021
- Last updated
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 31661 | FL | |
| Physical Therapy Assistant | 225200000X | 010113 | NY | Primary |
Addresses
Primary practice location
986 Jerusalem Ave
Uniondale, NY 11553-3005
Mailing address
1718 Chapel Tree Cir Apt F
Brandon, FL 33511-9311
Phone (407) 722-1588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31661 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1184388381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 CHAPEL TREE CIR APT F",
"city": "BRANDON",
"state": "FL",
"postal_code": "335119311",
"telephone_number": "407-722-1588",
"fax_number": "718-377-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "986 JERUSALEM AVE",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115533005",
"telephone_number": "718-377-5000",
"fax_number": "718-377-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "ABRAHAM",
"middle_name": "GABRIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-25",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "31661",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "010113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Uniondale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.