Individual provider Active NPI

Lucily Medina Abante, PT

  • Physical Therapist
  • Merrillville, IN
National Provider Identifier
1942493911
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007981A Issued in IN
Practice address
5800 Broadway
Merrillville, IN 46410-2601
Phone
(219) 985-1112
Fax
(219) 985-1150
NPI assigned
Aug 23, 2007
Last updated
Aug 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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 05007981A IN Primary

Addresses

Primary practice location

5800 Broadway
Merrillville, IN 46410-2601

Mailing address

5800 Broadway
Merrillville, IN 46410-2601
Phone (219) 985-1112

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05007981AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunliteadultdaycare LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1942493911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102601",
            "telephone_number": "219-985-1112",
            "fax_number": "219-985-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102601",
            "telephone_number": "219-985-1112",
            "fax_number": "219-985-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABANTE",
        "first_name": "LUCILY",
        "middle_name": "MEDINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007981A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.