Organization Active NPI

David M Abdoo

Doing business as Northern Physical Therapy

  • Physical Therapist
  • Utica, NY
National Provider Identifier
1841358165
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0183211 Issued in NY
Legal business name
DAVID M ABDOO
Doing business as
Northern Physical Therapy
Practice address
414 Trenton Ave
Utica, NY 13502-1641
Phone
(315) 797-4374
Fax
(315) 797-6549
NPI assigned
Dec 6, 2006
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
David Abdoo, PHDNPI 1275552101
Title
Physical Therapist/Owner
Phone
(315) 797-8396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0183211 NY Primary

Addresses

Primary practice location

414 Trenton Ave
Utica, NY 13502-1641

Mailing address

414 Trenton Ave
Utica, NY 13502-1641
Phone (315) 797-4374

Other names 1

  • Northern Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

414 Trenton Ave
Utica, NY 13502
Phone (315) 797-4374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1841358165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 TRENTON AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021641",
            "telephone_number": "315-797-4374",
            "fax_number": "315-797-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 TRENTON AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021641",
            "telephone_number": "315-797-4374",
            "fax_number": "315-797-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M ABDOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "ABDOO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "315-797-8396",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0183211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.