Individual provider Active NPI

Alicia Abalo, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1316211329
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033800 Issued in NY
Practice address
113 1/2 E 62ND St
New York, NY 10065-7301
Phone
(347) 840-3884
NPI assigned
Mar 8, 2012
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 033800 NY Primary

Addresses

Primary practice location

113 1/2 E 62ND St
New York, NY 10065-7301

Mailing address

113 1/2 E 62ND St
New York, NY 10065-7301
Phone (347) 840-3884

Other names 1

  • Al Bucao Abalo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120714000058 NY Practitioner - Physical Therapist in Private Practice 5294990487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033800NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morano Rehabilitation PT Home Services PLLC Physical Therapist CurrentSince Nov 10, 2012 Accepting new patients
Health Sos PT PC Physical Therapist CurrentSince Mar 22, 2025 Accepting new patients
In Touch Nyc Physical Therapy PC Physical Therapist CurrentSince Apr 20, 2024 Accepting new patients
Advance Therapeutic Care Physical Therapy PC Past Accepting new patients
CT Physical Therapy Care, P.C. Physical Therapist PastSince Mar 15, 2011 Accepting new patients

Locations

113 E 62nd St
New York, NY 10065
Phone (212) 288-2988

1255 5th Ave
Apt 6L
New York, NY 10029
Phone (914) 390-0080

139 E 57th St
New York, NY 10022
Phone (212) 753-4767

162 W 56th St
Ste 302
New York, NY 10019
Phone (212) 288-2988

82 Nassau St
New York, NY 10038
Phone (347) 625-3993

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1316211329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 1/2 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657301",
            "telephone_number": "347-840-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 1/2 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657301",
            "telephone_number": "347-840-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABALO",
        "first_name": "ALICIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AL",
            "last_name": "ABALO",
            "middle_name": "BUCAO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.