Individual provider Active NPI

Abelardo Dorantes, P.T.

  • Physical Therapist
  • Avon, OH
National Provider Identifier
1730274515
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-06257 Issued in OH
Practice address
33560 Detroit Rd
Avon, OH 44011-2030
Phone
(440) 937-4222
Fax
(440) 937-4522
NPI assigned
Oct 4, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-06257 OH Primary

Addresses

Primary practice location

33560 Detroit Rd
Avon, OH 44011-2030

Mailing address

33560 Detroit Rd
Avon, OH 44011-2030
Phone (440) 937-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-06257OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solution Centers Inc Physical Therapist Past Accepting new patients
Two Enterprises Inc. Physical Therapist PastSince Aug 1, 2007 Accepting new patients
Healthquest of Avon, Inc. Physical Therapist Past Accepting new patients
Health Solution Centers of Sandusky Inc Physical Therapist PastSince Oct 1, 2009 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730274515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33560 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112030",
            "telephone_number": "440-937-4222",
            "fax_number": "440-937-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33560 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112030",
            "telephone_number": "440-937-4222",
            "fax_number": "440-937-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORANTES",
        "first_name": "ABELARDO",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-06257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.