Jennifer Abanto, RPT
Individual provider Active NPI Physical Therapist · Pasadena, CA
NPI 1992476501 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1992476501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 22402 (CA)
- Practice address
- 1899 N Raymond Ave
Pasadena, CA 91103-1733 - Phone
- (626) 797-2120
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- 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 |
|---|---|---|---|
| 22402 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22402 | CA | Yes |
Addresses
Primary practice location
1899 N Raymond Ave
Pasadena, CA 91103-1733
Mailing address
319 W Duarte Rd Unit a
Monrovia, CA 91016-7477
Phone (626) 826-1536
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- Edgar Fernando A Abad
- Edward Raymond Abasta
- Cecilia Winifred Abban
- Vafa Abbassi
- Katherine Elizabeth Abbey
- Chester Abbott
All providers in Pasadena, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. 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.