Abigail E Mandelblatt, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29223 Issued in MD

Practice address

600 Wyndhurst Ave Ste 102
Baltimore, MD 21210-2424

Phone

(410) 601-3991

NPI assigned

Oct 6, 2021

Reactivated

Dec 2, 2022

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Florida, LLC

  • Multi-Specialty Clinic/Center
  • Stuart, FL
  • NPI 1184257602

  Physical Therapist

  Medicare reassignment NPD
• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• Indigo Roland Park LLC

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1134866809

  Physical Therapist

  NPD
• Empowerme Rehabilitation Florida, LLC

  • Rehabilitation Clinic/Center
  • The Villages, FL
  • NPI 1477245892
  NPD
• Indigo Physiotherapy, LLC

  • Physical Therapist
  • Baltimore, MD
  • NPI 1871070748
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1619639747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102424",
            "telephone_number": "410-601-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102424",
            "telephone_number": "410-601-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBLATT",
        "first_name": "ABIGAIL",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "deactivation_date": "2022-11-21",
        "reactivation_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Christopher Mancini, MD
• James R Mancini, CCC-SLP
• Nicholas Manco, MD
• Robert C Mand, PT
• Rajarsi Mandal, M.D.
• Kayla Renee Mandrykin
• Indira Mandzukic
• Leonora Manekin, L.AC., M.AC.
• Manfred Tambe
• Ojong Ojong Manfred

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.