Lovely Roulette Edullantes Unabia, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

053765 Issued in NY

Practice address

46 Brookmeade Dr
Rhinebeck, NY 12572-2317

Phone

(217) 801-7409

NPI assigned

Dec 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lovely Roulette Unabia Abella Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631
  Medicare reassignment NPD

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1669280848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S DURKIN DR APT 11",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041309",
            "telephone_number": "217-801-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BROOKMEADE DR",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125722317",
            "telephone_number": "217-801-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNABIA",
        "first_name": "LOVELY ROULETTE",
        "middle_name": "EDULLANTES",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOVELY ROULETTE",
            "last_name": "ABELLA",
            "middle_name": "UNABIA",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Louice Torres, MS
• Vonnitta Townsend
• Amanda Tumbarello
• Janice Marie Tutolo, MSCCC-SLP
• Anne-Marie Uebbing, NP
• Annette Vaccaro, R.N.
• Danielle D Van Ostrand, RN
• Lenore Vandemark, RN
• Skylar Vansteemburg
• Jennifer K Vazquez-Bryan, MD

• Physical Therapist in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.