Richard Mata Abad, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2725 Issued in TN

Practice address

118 Forest Dr.
Martin, TN 38237-3639

Phone

(931) 232-4555

NPI assigned

Feb 18, 2009

Last updated

Feb 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeway Physical Therapy Outpatient, PLLCGroup PAC ID 8527184001, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeway Physical Therapy Outpatient, PLLC

  • Physical Therapy Clinic/Center
  • Dover, TN
  • NPI 1588809461
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1396984175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FOREST DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373639",
            "telephone_number": "731-587-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FOREST DR.",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373639",
            "telephone_number": "931-232-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAD",
        "first_name": "RICHARD",
        "middle_name": "MATA",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "2725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abilishealth Martin, LLC (Adoration Home Health Martin)
• Megan Ables, PHARMD
• Air Evac EMS Inc (Air Evac Lifeteam)
• Celia Allman, FNP
• Ashraf Yahya Alqaqa, MD

• Physical Therapist in Martin, TN
• Providers in Martin, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.