Active NPI
Randell Jacob Abante Physical Therapy PC
- Physical Therapist
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RANDELL JACOB ABANTE PHYSICAL THERAPY PC
- Practice address
- 7402 Grand Ave # 2a
Elmhurst, NY 11373-4127 - Phone
- (347) 462-7486
- Fax
- (917) 396-1018
- NPI assigned
- Apr 11, 2023
- Last updated
- Aug 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randell J Abante, PT
- Title
- President
- Phone
- (347) 462-7486
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
7402 Grand Ave # 2a
Elmhurst, NY 11373-4127
Mailing address
7402 Grand Ave # 2a
Elmhurst, NY 11373-4127
Phone (917) 396-1017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4046 75th St
Fl 1
Elmhurst, NY 11373
Phone (347) 507-1698
7402 Grand Ave
#2A
Elmhurst, NY 11373
Phone (347) 462-7486
7402 Grand Ave
Unit 3B
Elmhurst, NY 11373
Phone (917) 396-1017
17 E Broadway
Ste 501
New York, NY 10002
Phone (212) 406-2439
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Physical Therapist
- Elmhurst, NY
- NPI 1043922487
-
- Acupuncturist
- New York, NY
- NPI 1720898760
-
- Physical Therapist
- Elmhurst, NY
- NPI 1215774120
-
- Acupuncturist
- New York, NY
- NPI 1386784452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1871288126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7402 GRAND AVE # 2A",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734127",
"telephone_number": "917-396-1017",
"fax_number": "917-396-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7402 GRAND AVE # 2A",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734127",
"telephone_number": "347-462-7486",
"fax_number": "917-396-1018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDELL JACOB ABANTE PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "ABANTE",
"authorized_official_first_name": "RANDELL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-462-7486",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.