Individual provider Active NPI

Amelia L a Tabuena, MD

  • Physical Medicine & Rehabilitation Physician
  • Willow Grove, PA
National Provider Identifier
1245225473
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD039601 Issued in PA
Practice address
701 Easton Rd
Willow Grove, PA 19090-2003
Phone
(215) 830-9568
Fax
(215) 830-9579
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD039601 PA Primary

Addresses

Primary practice location

701 Easton Rd
Willow Grove, PA 19090-2003

Mailing address

701 Easton Rd
Willow Grove, PA 19090-2003
Phone (215) 830-9568

Other identifiers 1

IdentifierTypeStateIssuer
011012507-001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000024 PA Practitioner - Physical Medicine and Rehabilitation 1951293851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Washington LN
13C
Wyncote, PA 19095-1400
Phone (215) 887-5030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD039601PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyncote Physical Medicine & Diagnostic PC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2004 Accepting new patients
Abington Rehabilitation Medicine Physical Medicine & Rehabilitation Past Accepting new patients

Locations

25 Washington Ln
Ste 13C
Wyncote, PA 19095
Phone (215) 887-5030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245225473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902003",
            "telephone_number": "215-830-9568",
            "fax_number": "215-830-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902003",
            "telephone_number": "215-830-9568",
            "fax_number": "215-830-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABUENA",
        "first_name": "AMELIA",
        "middle_name": "L A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD039601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011012507-001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.