Active NPI
Cheryl Ann Abbani, PT
- Physical Therapist
- Rancho Palos Verdes, CA
National Provider Identifier
1346310331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32092
- Practice address
- 28631 S Western Ave Ste 104a
Rancho Palos Verdes, CA 90275-0816 - Phone
- (310) 548-5444
- Fax
- (310) 548-8444
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32092 | CA | Primary |
Addresses
Primary practice location
28631 S Western Ave Ste 104a
Rancho Palos Verdes, CA 90275-0816
Mailing address
5011 Merrill St
Torrance, CA 90503-6859
Phone (310) 430-3944
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528212784 | Other | CA | BLUE CROSS |
| 74927401 | Other | CA | PACIFICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | WebPT | Direct | |
| SOAP URL | WebPT | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32092 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Sports Medicine Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3878 W Carson St
Ste 100
Torrance, CA 90503
Phone (310) 543-4655
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Torrance, CA
- NPI 1780770214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1346310331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 MERRILL ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905036859",
"telephone_number": "310-430-3944",
"fax_number": "310-548-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28631 S WESTERN AVE STE 104A",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902750816",
"telephone_number": "310-548-5444",
"fax_number": "310-548-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBANI",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1528212784",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "74927401",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WebPT",
"affiliation": "N",
"endpointDescription": "Electronic Medical Record",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Revflow",
"address_1": "28631 S Western Ave Ste 104A",
"city": "Rancho Palos Verdes",
"state": "CA",
"country_code": "US",
"postal_code": "902750816",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WebPT",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1220 Dewey Way",
"city": "Upland",
"state": "CA",
"country_code": "US",
"postal_code": "917861101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.