Individual provider Active NPI

Maria Victoria Mercado Abella

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1366716367
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025451 Issued in NY
Practice address
1180 Tinton Ave
Bronx, NY 10456-5436
Phone
(347) 410-1893
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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 025451 NY Primary

Addresses

Primary practice location

1180 Tinton Ave
Bronx, NY 10456-5436

Mailing address

105 Fern Ave
Newburgh, NY 12550-3020
Phone (845) 784-4939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
025451NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Miriam Kanter MD PC Past Accepting new patients
Synergy Physical Therapy & Chiropractic PLLC Past Accepting new patients
Kanter Physical Medicine & Rehab PC PastSince Jun 1, 2012 Accepting new patients

Organizations & group practices 3

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1366716367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FERN AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503020",
            "telephone_number": "845-784-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 TINTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565436",
            "telephone_number": "347-410-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLA",
        "first_name": "MARIA VICTORIA",
        "middle_name": "MERCADO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.