Organization Active NPI

Abimilech Physical Therapy PC

  • Physical Therapist
  • Woodside, NY
National Provider Identifier
1699649889
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ABIMILECH PHYSICAL THERAPY PC
Practice address
4902 Queens Blvd Lowr Level
Woodside, NY 11377-4444
Phone
(646) 589-2495
NPI assigned
Oct 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Abimilech AnolaNPI 1245616564
Title
DPT/President
Phone
(646) 589-2495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4902 Queens Blvd Lowr Level
Woodside, NY 11377-4444

Mailing address

4511 40TH St Apt 2F
Sunnyside, NY 11104-3902

National Provider Directory

National Provider Directory

Locations

4902 Queens Blvd
Lowr
Woodside, NY 11377
Phone (718) 729-1952

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1699649889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 40TH ST APT 2F",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111043902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD LOWR LEVEL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774444",
            "telephone_number": "646-589-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIMILECH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "ANOLA",
        "authorized_official_first_name": "ABIMILECH",
        "authorized_official_title_or_position": "DPT/PRESIDENT",
        "authorized_official_telephone_number": "646-589-2495"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.