Active NPI
Abimilech Physical Therapy PC
- Physical Therapist
- Woodside, NY
National Provider Identifier
1699649889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abimilech Anola
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- Sunnyside, NY
- NPI 1245616564
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.