MITHUN MAMOOTTIL ABRAHAM, DPT — NPI 1033689781 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers

CMS-1500 Box 24J / 33a • NPI

1033689781

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225100000X (CMS 65)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist

Box 32 Service Location & ZIP+4

475 NORTHERN BLVD STE 11, GREAT NECK, NY, 11021

Official NPPES Practice Location

Practice Phone & Referral Fax

(516) 829-0030

Fax: (516) 466-7723

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033689781 (MITHUN MAMOOTTIL ABRAHAM, DPT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1033689781)

Medicare Beneficiaries

133

Total Billed Services

3,165

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$95,861.75

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`97110`	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,005
`97112`	Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	506
`97116`	Therapy procedure for walking training, each 15 minutes	89
`97140`	Therapy procedure using manual technique, each 15 minutes	491
`97150`	Therapy procedure in a group setting	137
`97161`	Evaluation for physical therapy, typically 20 minutes	63
`97162`	Evaluation for physical therapy, typically 30 minutes	16
`97530`	Therapy procedure using functional activities	413

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033689781` (NPI-1 Individual Practitioner)
Provider / Legal Name	MITHUN MAMOOTTIL ABRAHAM, DPT
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: `225100000X` (Physical Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	475 NORTHERN BLVD STE 11, GREAT NECK, NY, 11021
Practice Telephone / Fax	Tel: (516) 829-0030 \| Fax: (516) 466-7723
Administrative Mailing Address	475 NORTHERN BLVD STE 27, GREAT NECK, NY, 11021-4802
Enumeration & Last Sync	Enumerated: 2018-11-26 \| CMS Record Updated: 2019-10-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

475 NORTHERN BLVD STE 11, GREAT NECK, NY, 11021

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Plain-English Taxonomy & CMS Crosswalk (225100000X)

What Does Taxonomy Code 225100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MITHUN MAMOOTTIL ABRAHAM, DPT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: NY \| License: `043684-1` \| Primary: Yes (Primary)
`2251X0800X` — Physical Therapist, Orthopedic Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic	State: NY \| License: `043684-1` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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MITHUN MAMOOTTIL ABRAHAM, DPT (NPI #1033689781)