Matilda Abiola Rehab Care LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

015651 Issued in NY

Legal business name

MATILDA ABIOLA REHAB CARE LLC

Practice address

1592 E91St Street
Brooklyn, NY 11236-5218

Phone

(917) 412-0190

Fax

(866) 230-0943

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Matilda Abimbola AbiolaNPI 1427383090

Title

Registered Physical Therapist

Phone

(917) 412-0190

Specialties & licenses 1

Addresses

Practitioners 1

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

• Matilda Abimbola Abiola, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1427383090
  NPD (past) Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1760938088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 E 91ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365218",
            "telephone_number": "917-412-0190",
            "fax_number": "866-230-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 E91ST STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365218",
            "telephone_number": "917-412-0190",
            "fax_number": "866-230-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATILDA ABIOLA REHAB CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "ABIOLA",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_middle_name": "ABIMBOLA",
        "authorized_official_title_or_position": "REGISTERED PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-412-0190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "015651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenia Mathurin, MD
• Yvette Mathurin
• Tania Matias-Nobles, LCSW
• Estrellita Matias
• Neva Matie, OTR/L
• Abu Matin
• Malachi Matin, LMSW
• Tasnim Matin
• Amelie Aura Matisse
• Samara Matityahu, LCAT-LIMITED PERMIT

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.