Active NPI
Patricia Carmela Abacan Dela Cruz, PT, DPT
- Physical Therapist
- Congers, NY
National Provider Identifier
1184472730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041395
- Practice address
- 117 Old Haverstraw Rd
Congers, NY 10920-1605 - Phone
- (347) 569-4934
- NPI assigned
- May 8, 2024
- Last updated
- May 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041395 | NY | Primary |
Addresses
Primary practice location
117 Old Haverstraw Rd
Congers, NY 10920-1605
Mailing address
117 Old Haverstraw Rd
Congers, NY 10920-1605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Kings Hwy
Brooklyn, NY 11223-1023
Phone (914) 837-6538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041395 | NY | MD | Pharmacist |
Organizations & group practices 1
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.
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1184472730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 OLD HAVERSTRAW RD",
"city": "CONGERS",
"state": "NY",
"postal_code": "109201605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 OLD HAVERSTRAW RD",
"city": "CONGERS",
"state": "NY",
"postal_code": "109201605",
"telephone_number": "347-569-4934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "PATRICIA CARMELA",
"middle_name": "ABACAN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Congers, NY
- Congers Valley Cottage Volunteer Ambulance Corps Inc
- Devon Marie Cooney, OTR/L
- Janine Corona, REGISTERED NURSE
- Carissa Coslit, MS, RD
- Deborah L. Chiang Licensed Clinical Social Worker, P.C.
- Christine Suzann Demaio-Krasny, OTR
- Denis Leblang DPM PC
- Natalie Deskin
- Krisna Destua
- Alexa Rose Disilvio, MSN, APRN, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.