Individual provider Active NPI

Maricon Abello

  • Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1598028789
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021993 Issued in PA
Practice address
5800 W Sample Rd
Apt 206
Coral Springs, FL 33067-3234
Phone
(808) 285-1042
NPI assigned
Jun 21, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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 PT021993 PA Primary
Physical Therapist 225100000X 034821 NY

Addresses

Primary practice location

5800 W Sample Rd
Apt 206
Coral Springs, FL 33067-3234

Mailing address

5800 W Sample Rd
Apt 206
Coral Springs, FL 33067-3234
Phone (808) 285-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034821NYMDPhysical Therapist
PT021993PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1598028789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W SAMPLE RD",
            "address_2": "APT 206",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673234",
            "telephone_number": "808-285-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W SAMPLE RD",
            "address_2": "APT 206",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673234",
            "telephone_number": "808-285-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLO",
        "first_name": "MARICON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021993",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.