Individual provider Active NPI

Nancy Abodeely, PT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1295881191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017999 Issued in CA
Practice address
1635 Divisadero St Ste 300
San Francisco, CA 94115-3043
Phone
(415) 833-4680
Fax
(415) 833-2612
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 017999 CA Primary

Addresses

Primary practice location

1635 Divisadero St Ste 300
San Francisco, CA 94115-3043

Mailing address

1635 Divisadero St Ste 300
San Francisco, CA 94115-3043
Phone (415) 833-4680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017999CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295881191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153043",
            "telephone_number": "415-833-4680",
            "fax_number": "415-833-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153043",
            "telephone_number": "415-833-4680",
            "fax_number": "415-833-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABODEELY",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "017999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.