Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchel Vincent Abella Antigua, RPT

Individual provider Physical Therapist · NPI 1164178356

Mitchel Vincent Abella Antigua, RPT is a Physical Therapist in Private Practice in Maspeth, New York. Qualified in 2017, 9 years ago. Practices with Core Physical Therapy Services PC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2022

Practice location Address checks out

7215 Grand Ave
Maspeth, NY 11378-1575
Phone: (718) 803-2058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 311 Saint Nicholas Ave, Ridgewood, NY 11385-2296 — (718) 509-9888

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 044496 (NY)

Record details

NPI number1164178356
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedFebruary 25, 2022
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Core Physical Therapy Services Pc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maspeth