Active NPI
D M Abdoo Physical Therapy PC
- Physical Therapist
- Utica, NY
National Provider Identifier
1265764435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018321
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Fernandina Beach, FL
- NPI 1669419974
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.