Individual provider Active NPI

Abigail Meridith, PT, DPT

  • Physical Therapist
  • Blue Springs, MO
National Provider Identifier
1083440663
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2024036842 Issued in MO
Practice address
220 NW R D Mize Rd Ste B203
Blue Springs, MO 64014-2540
Phone
(816) 220-0223
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2024036842 MO Primary

Addresses

Primary practice location

220 NW R D Mize Rd Ste B203
Blue Springs, MO 64014-2540

Mailing address

1000 Berkley Pkwy Apt 119
Kansas City, MO 64120-1411
Phone (407) 790-8904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023004608 MO Practitioner - Physical Therapist in Private Practice 8729511142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy and Sports Rehabilitation PAGroup PAC ID 6901885979, 3 clinicians

Practice addresses (Care Compare)

220 NW Rd Mize Rd
Blue Springs, MO 64014-2540
Phone (816) 220-0223

6324 NW Barry Rd
Kansas City, MO 64154-2531
Phone (816) 220-0223

9783 N Cedar Ave
Kansas City, MO 64157-6208
Phone (816) 220-0223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy and Sports Rehabilitation, PA Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients
Advanced Physical Therapy and Sports Rehabilitation, P.a. Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients

Locations

220 W Road Mize Rd
Ste B203
Blue Springs, MO 64014
Phone (816) 220-0223

Organizations & group practices 2

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1083440663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BERKLEY PKWY APT 119",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641201411",
            "telephone_number": "407-790-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW R D MIZE RD STE B203",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142540",
            "telephone_number": "816-220-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDITH",
        "first_name": "ABIGAIL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024036842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.