Individual provider Active NPI

Abigail Shoffner, DPT

  • Physical Therapist
  • Buzzards Bay, MA
National Provider Identifier
1033847199
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26470 Issued in MA
Practice address
146 Macarthur Blvd
Buzzards Bay, MA 02532-3902
Phone
(479) 715-1971
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2022

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 5165 AR
Physical Therapist 225100000X 26470 MA Primary

Addresses

Primary practice location

146 Macarthur Blvd
Buzzards Bay, MA 02532-3902

Mailing address

1704 S 43Rd St
Rogers, AR 72758-4049
Phone (479) 715-1971

Other practice location 1

1704 S 43rd St
Rogers, AR 72758-4049
Phone (479) 715-1971

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5165ARMDPhysical Therapist
26470MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1033847199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 S 43RD ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584049",
            "telephone_number": "479-715-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MACARTHUR BLVD",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323902",
            "telephone_number": "479-715-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 S 43rd St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727584049",
            "country_code": "US",
            "telephone_number": "479-715-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOFFNER",
        "first_name": "ABIGAIL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-09-11",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5165",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buzzards Bay, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; 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.