Provider Demographics
NPI:1831112796
Name:MCCABE, ROBERT ALLEN (PT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALLEN
Last Name:MCCABE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N ALAFAYA TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4726
Mailing Address - Country:US
Mailing Address - Phone:407-514-3657
Mailing Address - Fax:407-381-1971
Practice Address - Street 1:1900 N ALAFAYA TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4726
Practice Address - Country:US
Practice Address - Phone:407-514-3657
Practice Address - Fax:407-381-1971
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020122225100000X
FLPT105122251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ11E01OtherEMPIRE BCCS
NYQ11E01OtherEMPIRE BCCS