Immanuel Abera Abbo, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Spokane, WA
NPI 1619861499 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1619861499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- Practice address
- 2507 E 27TH Ave
Spokane, WA 99223-4908 - Phone
- (509) 456-6917
- NPI assigned
- Jun 5, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physical Therapy Associates PS
Practice addresses (Care Compare)
2507 E 27TH Ave
Spokane, WA 99223-4908
Phone (509) 456-6917
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250801000795 | WA | Practitioner - Physical Therapist in Private Practice | 1557879558 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Associates PS | Current |
Accepting new patients |
Locations
2507 E 27th Ave
Spokane, WA 99223
Phone (509) 456-6917
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | WA | Yes |
Addresses
Primary practice location
2507 E 27TH Ave
Spokane, WA 99223-4908
Mailing address
2507 E 27TH Ave
Spokane, WA 99223-4908
Phone (509) 456-6917
Other providers in Spokane, WA
- Maryam K Abbas
- Elizabeth Abbey
- Keri Ann Abbey
- Laura Elizabeth Abbey
- Linda Jo Abbey
- Jasmine Rae Abbott
- Elie Gergis Abboud
- Abcare Adult Family Home LLC
- Nooh Abdirahman
- Samer Abdulkhalek
All providers in Spokane, WA · Orthopedic Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. 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.