Jerome Abutal Abellana, RPT
Individual provider Active NPI Physical Therapist · Bradenton, FL
NPI 1710187778 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1710187778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT22006 (FL)
- Practice address
- 8000 Sr 64 E
Bradenton, FL 34212 - Phone
- (941) 792-1404
- Fax
- (941) 761-0712
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- One Place Rehab, LLC
One Place Performance and Osteopractic Physical Therapy
Practice addresses (Care Compare)
5214
Suite 64
Bradenton, FL 34208
Phone (941) 541-4571
8039 Cooper Creek Blvd
Suite 102
University Park, FL 34201-3007
Phone (941) 405-3557
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190124001161 | FL | Practitioner - Physical Therapist in Private Practice | 0547507832 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Specialists LLC | Current | Accepting new patients | |
| Florida Medical Specialists LLC | Current |
Accepting new patients | |
| Coastal Orthopedics & Sports Medicine of Southwest Florida PA | Current |
Accepting new patients | |
| Maxider Corporation | Physical Therapist | Current |
Accepting new patients |
| Florida Medical Specialists LLC | Current |
Accepting new patients | |
| Coastal Orthopedics & Sports Medicine of Southwest FL, PA | Past |
Accepting new patients | |
| Best Value Healthcare LLC | Past | Accepting new patients |
Locations
6114 State Road 70 E
Bradenton, FL 34203
Phone (941) 315-6182
8000 State Road 64 E
Bradenton, FL 34212
Phone 94179214043315
6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101
5101 4th Avenue Cir E
Ste 500
Bradenton, FL 34208
8340 Lakewood Ranch Blvd
Ste 300
Lakewood Ranch, FL 34202
Phone (941) 316-8200
3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383
2970 University Pkwy
Ste 105
Sarasota, FL 34243
Phone (941) 360-1988
3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT22006 | FL | Yes |
Addresses
Primary practice location
8000 Sr 64 E
Bradenton, FL 34212
Mailing address
8000 Sr 64 E
Bradenton, FL 34212
Phone (941) 792-1404
Other providers in Bradenton, FL
- Rachael I Abbott
- Engy Abdel Mageed
- Abdul Nadeem, M.D.LLC
- Mohammed M Abdulwahhab
- Georgianna May Abellana
- Ability Home Transitions
- Mohamed Abisourour
- Majd Abo Asalh
- Rand Abo Asalh
- Michael Alexander Abraham
All providers in Bradenton, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. 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.