Abbagail Flack, OTR/L
Individual provider Active NPI Occupational Therapist · Avoca, NY
NPI 1336028299 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1336028299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 030457 (NY)
- Practice address
- 17 Oliver St
Avoca, NY 14809-9606 - Phone
- (607) 566-2221
- NPI assigned
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 030457 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prattsburgh Central School | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 030457 | NY | Yes |
Addresses
Primary practice location
17 Oliver St
Avoca, NY 14809-9606
Mailing address
43 Church St
Lisbon, NY 13658-3299
Other practice location 1
1 Academy St
Prattsburgh, NY 14873-9200
Phone (607) 522-3795
Other providers in Avoca, NY
- Avoca Fire District
- Whitney Dickinson
- Jennifer Crane Dickson
- Emiy Eckel
- Kayla Emo
- Ellen M Gronski
- Deborah J. Hunt
- Lisa Ann Nicholson
- Margarita Paider
- Sara Schiele
All providers in Avoca, NY · Occupational 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 Aug 27, 2025. 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.