Individual provider Active NPI

Abel Ben Sheperds Nimmagadda, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1861764243
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032744 Issued in NY
Practice address
7819 18TH Ave
Brooklyn, NY 11214-1729
Phone
(917) 693-1911
NPI assigned
Feb 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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 032744 NY Primary

Addresses

Primary practice location

7819 18TH Ave
Brooklyn, NY 11214-1729

Mailing address

7819 18TH Ave
Brooklyn, NY 11214-1729
Phone (917) 693-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000705 NY Practitioner - Physical Therapist in Private Practice 7214196427 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
B Stern Physical Therapy P.C. Physical Therapist CurrentSince Apr 20, 2016 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Oct 12, 2017 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist PastSince Jul 5, 2023 Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Locations

3200 Bronx Blvd
Bronx, NY 10467
Phone (718) 515-9807

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

3099 Emmons Ave
#1
Brooklyn, NY 11235
Phone (646) 750-4455

440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-2818

41 Lockwood Ave
New Rochelle, NY 10801
Phone (914) 576-1202

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1861764243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141729",
            "telephone_number": "917-693-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141729",
            "telephone_number": "917-693-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMAGADDA",
        "first_name": "ABEL BEN SHEPERDS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.