Individual provider Active NPI

Rey Anthony Abadilla

  • Physical Therapist
  • Milford, CT
National Provider Identifier
1659752871
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010319 Issued in CT
Practice address
318 New Haven Ave Ste a
Milford, CT 06460-6661
Phone
(475) 209-1606
NPI assigned
Jun 12, 2015
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010319 CT Primary

Addresses

Primary practice location

318 New Haven Ave Ste a
Milford, CT 06460-6661

Mailing address

318 New Haven Ave Ste a
Milford, CT 06460-6661
Phone (475) 209-1606

Other practice location 1

3791 Dolan Way
Carmel, IN 46074-8358
Phone (317) 268-8525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123001145 CT Practitioner - Physical Therapist in Private Practice 6406224419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youtherapy Wellness and Physical Rehab LLCGroup PAC ID 8224406236, 7 clinicians

Practice addresses (Care Compare)

318 New Haven Ave
Suite a
Milford, CT 06460-6661
Phone (475) 209-1606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010319CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youtherapy Wellness and Physical Rehab LLC Physical Therapist CurrentSince Sep 15, 2022 Accepting new patients
Youtherapy Care at Home LLC Current Accepting new patients
At Home With You LLC Current Accepting new patients

Locations

318 New Haven Ave
Ste A
Milford, CT 06460
Phone (203) 520-9652

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1659752871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 NEW HAVEN AVE STE A",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606661",
            "telephone_number": "475-209-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 NEW HAVEN AVE STE A",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606661",
            "telephone_number": "475-209-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3791 Dolan Way",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460748358",
            "country_code": "US",
            "telephone_number": "317-268-8525",
            "fax_number": "317-268-8526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABADILLA",
        "first_name": "REY ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.