Mitchel Vincent Abella Antigua, RPT | |
7215 Grand Ave, Maspeth, NY 11378-1575 | |
(718) 803-2058 | |
Not Available |
Full Name | Mitchel Vincent Abella Antigua |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 7215 Grand Ave, Maspeth, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164178356 | NPI | - | NPPES |
044496 | Other | NY | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 044496 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Visiting Pt Ot Services Pllc | 1153721899 | 17 |
Core Physical Therapy Services Pc | 4486087442 | 21 |
Red Core Pt Pta And Rehabilitation Pllc | 4880985175 | 4 |
Provider Name | Red Core Pt Pta And Rehabilitation Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043698228 PECOS PAC ID: 4880985175 Enrollment ID: O20160616000776 |
Provider Name | Core Physical Therapy Services Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184269755 PECOS PAC ID: 4486087442 Enrollment ID: O20191204002750 |
Provider Name | Visiting Pt Ot Services Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1285232082 PECOS PAC ID: 1153721899 Enrollment ID: O20210616003229 |
Mailing Address | Practice Location Address |
---|---|
Mitchel Vincent Abella Antigua, RPT Po Box 780173, Maspeth, NY 11378-0173 Ph: (718) 509-9888 | Mitchel Vincent Abella Antigua, RPT 7215 Grand Ave, Maspeth, NY 11378-1575 Ph: (718) 803-2058 |
Mr. Amorsolo Cenon Laureta Jr., P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6440 58th Rd, Maspeth, NY 11378 Phone: 718-316-7072 | |
Mr. Benjamin Calma Manalac, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6918 59th Rd, Maspeth, NY 11378 Phone: 646-623-9511 | |
Mr. Charles Ayomide Adedara, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5818 57th Dr Fl 1, Maspeth, NY 11378 Phone: 347-659-2361 | |
Mr. John Anthony Casey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6731 52nd Ave, Maspeth, NY 11378 Phone: 718-344-9187 | |
Mrs. Catherine Quinn Ward, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5224 65th Pl, #6m, Maspeth, NY 11378 Phone: 718-316-8213 | |
Mr. Fernando Leon Suarez, PHYSICAL THERAPY Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7215 Grand Ave, Maspeth, NY 11378 Phone: 718-803-2058 Fax: 718-426-9155 |