Grant Abrams, PT
Individual provider Active NPI Physical Therapist · Kingston, NY
NPI 1306147996 · NPPES record last updated Nov 12, 2010
Key facts
- NPI
- 1306147996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 010863 (NY)
- Practice address
- 15 Joys Lane
Kingston, NY 12401 - Phone
- (845) 331-5064
- NPI assigned
- Nov 12, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010863 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Litson Certified Care, Inc. | Past | Accepting new patients | |
| St Luke'S Cornwall Hospital | Past | Accepting new patients | |
| Riverside Physicial & Occupational Therapy Language Pathology, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010863 | NY | Yes |
Addresses
Primary practice location
15 Joys Lane
Kingston, NY 12401
Mailing address
263 Rte 32 South
PO Box 126
New Paltz, NY 12561-0126
Other providers in Kingston, NY
- 283 Hurley Ave Dental, PLLC
- Lisa J. Abel-Bogner
- Badran Abosharr
- Simon Abramson
- Elan Adina Abreu
- Access: Supports for Living
- Dylana Accolla
- Rebecca Ackerman-Raphael
All providers in Kingston, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.