Alex Adrian Medina Abragan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035938 Issued in NY

Practice address

8616 63Rd Drive
2ND Floor
Rego Park, NY 11374

Phone

(408) 708-6596

NPI assigned

Sep 6, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Access Home Mobility & Safety Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1174207989
  NPD

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497273866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 63RD DR FL 2",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744847",
            "telephone_number": "408-708-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 63RD DRIVE",
            "address_2": "2ND FLOOR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "408-708-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAGAN",
        "first_name": "ALEX ADRIAN",
        "middle_name": "MEDINA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boris Abayev, M.D.
• David Abayev, D.O.
• Naphtalia Esther Abayev, MS-SLP, TSSLD
• Nicola Abbadessa, LCSW
• Kersendria S Abdullah, MSW
• Joseph Abraham
• Olga Abraham, PA-C
• Hal Fredric Abrahamson, D.P.M.
• Yakub Abrakhimov, M.D.
• Diana Abramchayeva, MSTOM

• All providers in Rego Park, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.