Drew Abatangelo
Individual provider Active NPI Physical Therapist · Newburgh, NY
NPI 1194184044 · NPPES record last updated Feb 21, 2016
Key facts
- NPI
- 1194184044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 62039986 (NY)
- Practice address
- 260 North St
Newburgh, NY 12550-3131 - Phone
- (845) 565-5054
- NPI assigned
- Feb 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Resolve Physical Therapy, P. C.
Practice addresses (Care Compare)
1128 State Route 17K
Suite 3
Montgomery, NY 12549-2270
Phone (845) 769-7777
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160418001243 | NY | Practitioner - Physical Therapist in Private Practice | 2062710585 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62039986 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolve Physical Therapy, P. C. | Physical Therapist | Current |
Accepting new patients |
Locations
1751 State Route 17A
Ste 1L
Florida, NY 10921
Phone (845) 769-7777
1128 State Route 17K
Ste 3
Montgomery, NY 12549
Phone (845) 769-7777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62039986 | NY | Yes |
Addresses
Primary practice location
260 North St
Newburgh, NY 12550-3131
Mailing address
319 Lake Vue Dr
Montgomery, NY 12549-2237
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All providers in Newburgh, 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 Feb 21, 2016. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.