Sharl W Abraham, DPT, ECS, R.NCS.T.
Individual provider Active NPI Physical Therapist · Elgin, IL
NPI 1265404313 · NPPES record last updated May 2, 2012
Key facts
- NPI
- 1265404313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070 014265 (IL)
- Practice address
- 1750 N Randall Rd Ste 280
Elgin, IL 60123-7901 - Phone
- (224) 535-9453
- Fax
- (630) 883-8730
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1750 N Randall Rd
Elgin, IL 60123-7901
Phone (224) 535-9453
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050221000635 | IL | Practitioner - Physical Therapist in Private Practice | 9638122435 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070 014265 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Physiotherapists LLC | Current |
Accepting new patients | |
| Advanced Physical Medicine & Therapy, LTD. | Physical Therapist | Past |
Accepting new patients |
| Advanced Physical Medicine & Therapy, LTD. | Past |
Accepting new patients |
Locations
1750 N Randall Rd
Ste 280
Elgin, IL 60123
Phone (224) 535-9453
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070 014265 | IL | Yes |
Addresses
Primary practice location
1750 N Randall Rd Ste 280
Elgin, IL 60123-7901
Mailing address
1750 N Randall Rd Ste 280
Elgin, IL 60123-7901
Phone (224) 535-9453
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2012. 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.