Judy A Abel, PTA
Individual provider Active NPI Physical Therapy Assistant · Vincennes, IN
NPI 1225128366 · NPPES record last updated May 13, 2012
Key facts
- NPI
- 1225128366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06001779A (IN)
- Practice address
- 1023 Broadway St
Vincennes, IN 47591-2926 - Phone
- (812) 881-5153
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 06001779A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06001779A | IN | Yes |
Addresses
Primary practice location
1023 Broadway St
Vincennes, IN 47591-2926
Mailing address
1023 Broadway St
Vincennes, IN 47591-2926
Phone (812) 881-5153
Other providers in Vincennes, IN
All providers in Vincennes, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2012. 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.