Lady Fair Abaya

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1077030 Issued in TX

Practice address

2101 W Northgate Dr
Irving, TX 75062-2650

Phone

(972) 255-4460

NPI assigned

Aug 29, 2018

Last updated

Aug 29, 2018By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1609358365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9416 LAKE CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W NORTHGATE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622650",
            "telephone_number": "972-255-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAYA",
        "first_name": "LADY FAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1077030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A1 Visiting Doctors Inc
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• Aaron W Gumm (Blue Print to Wellness)
• Aava Dental Irving PLLC (Aava Dental)
• Ab Medical Associates PA (Irving Health And Medical Center)
• Cordelia Ngozi Abazie, PHARMD
• April Abbott
• Caryn Anne Abbott, BCBA
• Donna Christine Abbott, PH.D.
• Abbottverdi, PH.D.S, PA

• Physical Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.