Individual provider Active NPI

Abigail Dunn Regan, DPT

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1003193871
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-25026 Issued in FL
Practice address
3536 Peninsula Cir
Melbourne, FL 32940-1111
Phone
(321) 342-1175
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT25026 FL
Physical Therapist 225100000X PT-25026 FL Primary

Addresses

Primary practice location

3536 Peninsula Cir
Melbourne, FL 32940-1111

Mailing address

3536 Peninsula Cir
Melbourne, FL 32940-1111
Phone (321) 345-1175

Other practice location 1

5000 N Wickham Rd Ste 107
Melbourne, FL 32940-7321
Phone (321) 701-4020

Other practice location 2

1954 Rockledge Blvd Ste 119
Rockledge, FL 32955-3761
Phone (321) 433-1500

Other names 1

  • Abigail Hilary Dunn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25026FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stretchability, LLC CurrentSince Apr 28, 2024 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1003193871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 PENINSULA CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401111",
            "telephone_number": "321-345-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 PENINSULA CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401111",
            "telephone_number": "321-342-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 N Wickham Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407321",
            "country_code": "US",
            "telephone_number": "321-701-4020",
            "fax_number": "321-701-4009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1954 Rockledge Blvd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553761",
            "country_code": "US",
            "telephone_number": "321-433-1500",
            "fax_number": "321-297-1556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "ABIGAIL",
        "middle_name": "DUNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25026",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT-25026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "DUNN",
            "middle_name": "HILARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.