Heather L Abatelli, PT
Individual provider Active NPI Physical Therapist · Colorado Springs, CO
NPI 1720129414 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1720129414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0015969 (CO)
- Practice address
- 3604 Galley Rd Ste 200
Colorado Springs, CO 80909-4301 - Phone
- (719) 550-4613
- Fax
- (719) 375-8426
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quality Rehab Inc
Practice addresses (Care Compare)
3604 Galley Rd
Suite 200
Colorado Springs, CO 80909-4301
Phone (719) 550-4613
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120530000401 | NY | Practitioner - Physical Therapist in Private Practice | 9234392325 | Reassigns benefits to 1 organization |
| I20190313002235 | CO | Practitioner - Physical Therapist in Private Practice | 9234392325 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015969 | CO | MD | Physical Therapist |
| 029691 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Rehab, Inc | Physical Therapist | Current |
Accepting new patients |
| Quality Rehab Inc | Physical Therapist | Current |
Accepting new patients |
| Cindi a. Prentiss, PT.,PC. | Physical Therapist | Current |
Accepting new patients |
Locations
3604 Galley Rd
Ste 200
Colorado Springs, CO 80909
Phone (719) 550-4613
196 N Belle Mead Rd
Ste 2
East Setauket, NY 11733
Phone (631) 941-3535
100 Landing Ave
Ste 2
Smithtown, NY 11787
Phone (631) 361-5111
59 Landing Ave
Ste 2
Smithtown, NY 11787
Phone (631) 361-5111
59 Landing Ave
Ste 4
Smithtown, NY 11787
Phone (631) 361-5111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0015969 | CO | Yes |
Addresses
Primary practice location
3604 Galley Rd Ste 200
Colorado Springs, CO 80909-4301
Mailing address
3604 Galley Rd Ste 200
Colorado Springs, CO 80909-4301
Phone (719) 550-4613
Other providers in Colorado Springs, CO
- Jade Abad
- Reynolds Abad
- Kara Abastta
- Leonora Cruz Abastta
- Chris W Abatelli
- Abaya Care at Home LLC
- Abba Dry Eye & Allergy Clinic, P.C.
- Abba Eye Care PC
- Abba Eye Care PC
- Abba Eye Care PC
All providers in Colorado Springs, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2020. 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.