Individual provider Active NPI

Abigail Price, P.T.

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1063527059
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT31488 Issued in FL
Practice address
5968 Clark Center Ave
Sarasota, FL 34238-2715
Phone
(941) 922-8200
Fax
(941) 343-9402
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 2305204604 VA
Physical Therapist 225100000X PT31488 FL Primary

Addresses

Primary practice location

5968 Clark Center Ave
Sarasota, FL 34238-2715

Mailing address

423 Highway 466 Apt 15107
Lady Lake, FL 32159-6309
Phone (540) 908-9510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328001491 FL Practitioner - Physical Therapist in Private Practice 4486756871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT31488FLMDPhysical Therapist
2305204604VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxider Corporation Physical Therapist CurrentSince Dec 20, 2022 Accepting new patients

Locations

2970 University Pkwy
Ste 105
Sarasota, FL 34243
Phone (941) 360-1988

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063527059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 HIGHWAY 466 APT 15107",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596309",
            "telephone_number": "540-908-9510",
            "fax_number": "941-343-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5968 CLARK CENTER AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382715",
            "telephone_number": "941-922-8200",
            "fax_number": "941-343-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ABIGAIL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204604",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.