Active NPI
Abraham Escobar, PT, DPT
- Physical Therapist
- Monrovia, CA
National Provider Identifier
1790360626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299917
- Practice address
- 113 E Olive Ave
Monrovia, CA 91016-3407 - Phone
- (626) 531-0787
- NPI assigned
- Mar 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299917 | CA | Primary |
Addresses
Primary practice location
113 E Olive Ave
Monrovia, CA 91016-3407
Mailing address
410 Raymondale Dr Apt 1
South Pasadena, CA 91030-2139
Phone (323) 447-3219
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
| License | State | Type | Specialty |
|---|---|---|---|
| 299917 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1790360626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 RAYMONDALE DR APT 1",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302139",
"telephone_number": "323-447-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E OLIVE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163407",
"telephone_number": "626-531-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR",
"first_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-11",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "299917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.