Abigail Anne Hereau, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501020150 Issued in MI

Practice address

10483 Dixie Hwy
Holly, MI 48442-9311

Phone

(810) 498-2301

NPI assigned

Mar 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Abby Anne Flaminio Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1003277583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 WINDING RIDGE DR APT 3B",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397573",
            "telephone_number": "906-399-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10483 DIXIE HWY",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429311",
            "telephone_number": "810-498-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREAU",
        "first_name": "ABIGAIL",
        "middle_name": "ANNE",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "FLAMINIO",
            "middle_name": "ANNE",
            "credential": "PT, DPT, ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ahmad Taha Hannan, M.D.
• Michelle Lynn Harvey, RN
• Health Quest, Inc.
• Alissa Sierra Hect
• Heather Hepper, PT, DPT
• Katelyn Marie Hittle, FNP-C
• Crystal Hoffman
• Yashica Holloman, LPC
• Holly Convalescent Center, Inc.
• Holly Dental Care PC

• All providers in Holly, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.