Individual provider Active NPI

Abigail Short

  • Physical Therapist
  • Saint Peters, MO
National Provider Identifier
1053068759
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2022004180 Issued in MO
Practice address
221 Spencer Rd Ste D
Saint Peters, MO 63376-2438
Phone
(636) 477-9911
Fax
(636) 477-9929
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 2022004180 MO Primary
Physical Therapist 225100000X 070025743 IL

Addresses

Primary practice location

221 Spencer Rd Ste D
Saint Peters, MO 63376-2438

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6250

Other practice location 1

1837 Homer M Adams Pkwy Ste M
Alton, IL 62002-5665
Phone (618) 208-3310

Other names 1

  • Abigail Reilly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220312000137 IL Practitioner - Physical Therapist in Private Practice 1254726128 Reassigns benefits to 1 organization
I20230217001066 MO Practitioner - Physical Therapist in Private Practice 1254726128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, shared by 41 NPIs, 2,187 clinicians

Practice addresses (Care Compare)

1047 Century Dr
Edwardsville, IL 62025-3772
Phone (618) 307-3434

221 Spencer Rd
Suite D
Saint Peters, MO 63376-2438
Phone (636) 477-9911

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022004180MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Mar 2, 2022 Accepting new patients
Performance 21 Physical Therapy LLC Physical Therapist CurrentSince Aug 15, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 2, 2022 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients

Locations

1837 Homer M Adams Pkwy
Ste M
Alton, IL 62002
Phone (618) 208-3310

1047 Century Dr
Edwardsville, IL 62025
Phone (618) 307-3434

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

1 Leon Hall Pkwy
Hillsboro, MO 63050

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

221 Spencer Rd
Ste D
Saint Peters, MO 63376
Phone (636) 447-9911

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

Interoperability endpoints

  • Direct secure messaging: abigail.reilly.p2@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1053068759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SPENCER RD STE D",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762438",
            "telephone_number": "636-477-9911",
            "fax_number": "636-477-9929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1837 Homer M Adams Pkwy Ste M",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620025665",
            "country_code": "US",
            "telephone_number": "618-208-3310",
            "fax_number": "618-208-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022004180",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070025743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "REILLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.