Arlyn Jean Domingo Abustan, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029917 Issued in NY

Practice address

4359 147TH St
LLF
Flushing, NY 11355-1739

Phone

(718) 445-3729

Fax

(718) 445-8867

NPI assigned

Dec 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1407039282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 147TH ST",
            "address_2": "LLF",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551739",
            "telephone_number": "718-445-3729",
            "fax_number": "718-445-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 147TH ST",
            "address_2": "LLF",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551739",
            "telephone_number": "718-445-3729",
            "fax_number": "718-445-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUSTAN",
        "first_name": "ARLYN JEAN",
        "middle_name": "DOMINGO",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029917",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.