Individual provider Active NPI

Cheryl Ann Abbani, PT

  • Physical Therapist
  • Rancho Palos Verdes, CA
National Provider Identifier
1346310331
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32092 Issued in CA
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

Updated by the provider on Dec 23, 2019

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 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

IdentifierTypeStateIssuer
1528212784OtherCABLUE CROSS
74927401OtherCAPACIFICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL WebPT Direct
SOAP URL WebPT Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127001007 CA Practitioner - Physical Therapist in Private Practice 6406281856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32092CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Sports Medicine Physical Therapy Inc. Physical Therapist CurrentSince Dec 4, 2023 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.

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.

Verify at the official NPI Registry.