Peter Amin Abbass, PT, DPT
Individual provider Active NPI Physical Therapist · Ithaca, NY
NPI 1952392227 · NPPES record last updated Jul 15, 2013
Key facts
- NPI
- 1952392227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 018266 (NY)
- Practice address
- 110 Ho Plaza
Gannett Health Services
Ithaca, NY 14853 - Phone
- (607) 255-6106
- Fax
- (607) 254-3503
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018266 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018266 | NY | Yes |
Addresses
Primary practice location
110 Ho Plaza
Gannett Health Services
Ithaca, NY 14853
Mailing address
110 Ho Plaza
Gannett Health Services
Ithaca, NY 14853
Phone (607) 255-6106
Other providers in Ithaca, NY
- 24 On Physician New York, PC
- Nadia Abdo
- Elaine Rose Abdulky
- Mansour Fareed Abdulky
- Edward G. Abelson
- Ellen Rachel Abrams
All providers in Ithaca, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.