Individual provider Active NPI

Joseph Pacaldo Abano, PT, DPT

  • Physical Therapist
  • Glendale, CA
National Provider Identifier
1376298968
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305952 Issued in CA
Practice address
1111 N Brand Blvd Ste J&K
Glendale, CA 91202-3070
Phone
(330) 581-4455
NPI assigned
Feb 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019662 OH
Physical Therapist 225100000X 305952 CA Primary

Addresses

Primary practice location

1111 N Brand Blvd Ste J&K
Glendale, CA 91202-3070

Mailing address

1111 N Brand Blvd Ste J&K
Glendale, CA 91202-3070
Phone (330) 581-4455

Other practice location 1

1663 S Liberty Ave
Alliance, OH 44601-4235
Phone (330) 581-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CT, VA, DC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240710003479 CA Practitioner - Physical Therapist in Private Practice 9133514151 Reassigns benefits to 2 organizations
I20250310003112 CT Practitioner - Physical Therapist in Private Practice 9133514151 Reassigns benefits to 1 organization
I20250602000218 VA Practitioner - Physical Therapist in Private Practice 9133514151 Reassigns benefits to 1 organization
I20250603000150 DC Practitioner - Physical Therapist in Private Practice 9133514151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

1600 Wilson Blvd
Suite 102
Arlington, VA 22209-2505
Phone (703) 935-1996

4613 Duke St
Suite B
Alexandria, VA 22304-2559
Phone (703) 751-1052

5 High Ridge Park
FL 3
Stamford, CT 06905-1326
Phone (860) 347-7636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305952CAMDPhysical Therapist
PT019662OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abano Therapy LLC Current Accepting new patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Aug 11, 2024 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Physical Therapist CurrentSince Jan 4, 2025 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince May 27, 2025 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Jan 4, 2025 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Aug 11, 2024 Accepting new patients
Rehab Alliance Physical Therapist PastSince Jan 1, 2002 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

1111 N Brand Blvd
Ste Jk
Glendale, CA 91202
Phone (818) 244-0468

22995 Mill Creek Dr
Ste A
Laguna Hills, CA 92653

551 Gibson Ave
Pacific Grove, CA 93950
Phone (831) 242-8394

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

5 High Ridge Park
Fl 3
Stamford, CT 06905
Phone (203) 869-1145

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

Organizations & group practices 10

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": "1644710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1376298968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD STE J&K",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023070",
            "telephone_number": "330-581-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD STE J&K",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023070",
            "telephone_number": "330-581-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1663 S Liberty Ave",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014235",
            "country_code": "US",
            "telephone_number": "330-581-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABANO",
        "first_name": "JOSEPH",
        "middle_name": "PACALDO",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-13",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019662",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.