Provider Demographics
NPI:1184632192
Name:ABROMAITIS, JAMES CARL (RPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CARL
Last Name:ABROMAITIS
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13355 TAMIAMI TRL UNIT E
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-2186
Mailing Address - Country:US
Mailing Address - Phone:941-426-1235
Mailing Address - Fax:941-426-4464
Practice Address - Street 1:13355 TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-2186
Practice Address - Country:US
Practice Address - Phone:941-426-1235
Practice Address - Fax:941-426-4464
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT29942225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT650000938Medicare ID - Type Unspecified