Cresilda Tejano Abella

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042680 Issued in NY

Practice address

Summit Care Physical Therapy P.C.
37-59 61St Street Unit M2
Woodside, NY 11377-2567

Phone

(718) 424-2273

Fax

(718) 424-2278

NPI assigned

Aug 7, 2018

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Care Physical Therapy P.C.

  • Physical Therapist
  • Woodside, NY
  • NPI 1063019388
  NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1922587443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 161ST STREET",
            "address_2": "1ST FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113584159",
            "telephone_number": "646-520-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUMMIT CARE PHYSICAL THERAPY P.C.",
            "address_2": "37-59 61ST STREET UNIT M2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772567",
            "telephone_number": "718-424-2273",
            "fax_number": "718-424-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7345 Woodland Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462781737",
            "country_code": "US",
            "telephone_number": "317-286-2885",
            "fax_number": "317-536-3097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "ATOM PHYSICAL THERAPY PC",
            "address_2": "21008 Northern Blvd, Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113613211",
            "country_code": "US",
            "telephone_number": "347-408-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6805 Fresh Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113855200",
            "country_code": "US",
            "telephone_number": "718-456-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABELLA",
        "first_name": "CRESILDA",
        "middle_name": "TEJANO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Woodside, NY
• Providers in Woodside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.