Abi Joy Yapana Cruz
Individual provider Active NPI Contractor · Westfield, IN
NPI 1457680951 · NPPES record last updated Dec 19, 2023
Key facts
- NPI
- 1457680951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 23143 (MD)
- Practice address
- 14902 Shelborne Rd
Westfield, IN 46074-9668 - Phone
- (317) 388-0800
- Fax
- (317) 388-0805
- NPI assigned
- Dec 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pivot Physical Therapy of Central Maryland LLC
Practice addresses (Care Compare)
3570 Saint Johns LN
Suite 13
Ellicott City, MD 21042-4037
Phone (410) 461-6776
545 Main St
Suite 117
Laurel, MD 20707-4351
Phone (301) 497-8980
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240607000061 | MD | Practitioner - Physical Therapist in Private Practice | 5193267029 | Reassigns benefits to 2 organizations |
| I20240607000137 | DC | Practitioner - Physical Therapist in Private Practice | 5193267029 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Sportscare & Rehab LLC | Current |
Accepting new patients | |
| Pivot Physical Therapy of Central Maryland LLC | Current |
Accepting new patients | |
| Maryland Sportscare & Rehab, LLC | Current |
Accepting new patients | |
| Betteru Physical Therapy, LLC | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761
3570 Saint Johns Ln
Ste 13
Ellicott City, MD 21042
Phone (410) 461-6776
75 Thomas Johnson Dr
Ste M
Frederick, MD 21702
Phone (301) 698-9761
141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478
545 Main St
Ste 117
Laurel, MD 20707
Phone (301) 497-8980
25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 23143 | MD | Yes |
Addresses
Primary practice location
14902 Shelborne Rd
Westfield, IN 46074-9668
Mailing address
545 Main St Ste 117
Laurel, MD 20707-4351
Phone (301) 385-9224
Other providers in Westfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.