Mitchel Vincent Abella Antigua, RPT - Medicare Physical Therapist in Ridgewood, NY

Mitchel Vincent Abella Antigua, RPT is a medicare enrolled "Physical Therapist" provider in Ridgewood, New York. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Visiting Pt Ot Services Pllc, Core Physical Therapy Services Pc, Red Core Pt Pta And Rehabilitation Pllc and his current practice location is 311 Saint Nicholas Ave, Ridgewood, New York. You can reach out to his office (for appointments etc.) via phone at (718) 509-9888.

Mitchel Vincent Abella Antigua is licensed to practice in New York (license number 044496) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164178356.

Contact Information

Mitchel Vincent Abella Antigua, RPT
311 Saint Nicholas Ave,
Ridgewood, NY 11385-2296
(718) 509-9888
(718) 509-6144



Healthcare Provider's Profile

Full NameMitchel Vincent Abella Antigua
GenderMale
SpecialityPhysical Therapy
Experience7 Years
Location311 Saint Nicholas Ave, Ridgewood, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mitchel Vincent Abella Antigua graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1164178356
  • Provider Enumeration Date: 02/25/2022
  • Last Update Date: 02/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840685384
  • Enrollment ID: I20220318000801

Medical Identifiers

Medical identifiers for Mitchel Vincent Abella Antigua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164178356NPI-NPPES
044496OtherNYPT LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 044496 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Visiting Pt Ot Services Pllc115372189917
Core Physical Therapy Services Pc448608744225
Red Core Pt Pta And Rehabilitation Pllc48809851754

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mitchel Vincent Abella Antigua allows following entities to bill medicare on his behalf.
Provider NameRed Core Pt Pta And Rehabilitation Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043698228
PECOS PAC ID: 4880985175
Enrollment ID: O20160616000776

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Provider NameCore Physical Therapy Services Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1184269755
PECOS PAC ID: 4486087442
Enrollment ID: O20191204002750

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Provider NameVisiting Pt Ot Services Pllc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1285232082
PECOS PAC ID: 1153721899
Enrollment ID: O20210616003229

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mitchel Vincent Abella Antigua is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mitchel Vincent Abella Antigua, RPT
Po Box 780173,
Maspeth, NY 11378-0173

Ph: (718) 509-9888
Mitchel Vincent Abella Antigua, RPT
311 Saint Nicholas Ave,
Ridgewood, NY 11385-2296

Ph: (718) 509-9888

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› Verified 7 days ago


Physical Therapist in Ridgewood, NY

Khashayar Yousefian,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1670 George St Apt 2l, Ridgewood, NY 11385
Phone: 408-667-7548    
Redcore Physical Therapy And Rehabiitation
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 311 St Nicholas Avenue, Suite E- Basement, Ridgewood, NY 11385
Phone: 718-509-9888    Fax: 718-509-6144
Bhavna Rajesh Devnani, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385
Phone: 929-299-6505    
Stacie Malner,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1666 Hancock St, Ridgewood, NY 11385
Phone: 718-456-7588    
Bryan Joseph Gicana De La Cruz, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 865 Cypress Ave, Ridgewood, NY 11385
Phone: 848-667-0943    Fax: 848-667-0943
Jamelle Rosette Santos, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385
Phone: 718-456-2545    Fax: 718-559-6784
Ruchi Modi,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385
Phone: 718-456-2545    Fax: 718-559-6784

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