Individual provider Active NPI

Tuya Abibo

  • Occupational Therapist
  • Milwaukee, WI
National Provider Identifier
1942863659
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
119824 Issued in TX
Practice address
3216 W Highland Blvd
Milwaukee, WI 53208-3252
Phone
(414) 344-6515
NPI assigned
Apr 18, 2019
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6480-26 WI
Occupational Therapist 225X00000X OT009553 GA
Occupational Therapist 225X00000X 119824 TX Primary

Addresses

Primary practice location

3216 W Highland Blvd
Milwaukee, WI 53208-3252

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

5729 Lebanon Rd Ste 120
Frisco, TX 75034-7259
Phone (469) 731-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250520001721 TX Practitioner - Occupational Therapist in Private Practice 4385162643 Reassigns benefits to 2 organizations
I20250625003007 GA Practitioner - Occupational Therapist in Private Practice 4385162643 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6480-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jun 3, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 3, 2025 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Jun 3, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince May 14, 2025 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 14, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 3, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 14, 2025 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 14, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

3515 W FM 120
Ste 103
Denison, TX 75020
Phone (903) 337-1362

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

5729 Lebanon Rd
Ste 120
Frisco, TX 75034
Phone (469) 731-4888

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 8

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1942863659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 W HIGHLAND BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083252",
            "telephone_number": "414-344-6515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5729 Lebanon Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750347259",
            "country_code": "US",
            "telephone_number": "469-731-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIBO",
        "first_name": "TUYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6480-26",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009553",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.