Organization Active NPI

D M Abdoo Physical Therapy PC

  • Physical Therapist
  • Utica, NY
National Provider Identifier
1265764435
Registry record updated Feb 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018321 Issued in NY
Legal business name
D M ABDOO PHYSICAL THERAPY PC
Practice address
414 Trenton Ave
Utica, NY 13502-1641
Phone
(315) 797-4374
Fax
(315) 797-6549
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2013

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

Authorized official

Name
Mr. David Abdoo, RPT
Title
Owner
Phone
(315) 797-4374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 018321 NY Primary

Addresses

Primary practice location

414 Trenton Ave
Utica, NY 13502-1641

Mailing address

414 Trenton Ave
Utica, NY 13502-1641
Phone (315) 797-4374

Other names 1

  • Northern Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

430 Coventry Ave
Utica, NY 13502
Phone (315) 797-4374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360368000000",
    "number": "1265764435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 TRENTON AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021641",
            "telephone_number": "315-797-4374",
            "fax_number": "315-797-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 TRENTON AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021641",
            "telephone_number": "315-797-4374",
            "fax_number": "315-797-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D M ABDOO PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2013-02-09",
        "status": "A",
        "authorized_official_last_name": "ABDOO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-797-4374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.