Individual provider Active NPI

Abby Leigh Hammack, DPT

  • Physical Therapist
  • King George, VA
National Provider Identifier
1184900565
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206271 Issued in VA
Practice address
5254 Potomac Dr Ste a
King George, VA 22485-5832
Phone
(540) 709-1147
Fax
(855) 262-0935
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Physical Therapy 2 clinicians

Practice addresses (Care Compare)

5254 Potomac Dr
Suite a
King George, VA 22485-5832
Phone (540) 709-1147

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430000406 VA Practitioner - Physical Therapist in Private Practice 4385877281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305206271VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JP Frye LLC CurrentSince Jan 14, 2024 Accepting new patients
Potomac Physical Therapy CurrentSince Jan 30, 2017 Accepting new patients
Rappahannock Foot & Ankle Specialist Physical Therapist PastSince Feb 26, 2014 Accepting new patients

Locations

5254 Potomac Dr
Ste A
King George, VA 22485
Phone (540) 709-1147

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206271 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

5254 Potomac Dr Ste a
King George, VA 22485-5832

Mailing address

5254 Potomac Dr Ste a
King George, VA 22485-5832
Phone (540) 709-1147

Other practice location 1

1 Jarrett White Rd
MCHK-QS-Credentials
Tripler AMC, HI 96859-5000
Phone (888) 683-2778

Other names 1

NPPES NPI Registry
  • Abby Leigh Burkholder Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2023.

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1184900565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5254 POTOMAC DR STE A",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855832",
            "telephone_number": "540-709-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5254 POTOMAC DR STE A",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855832",
            "telephone_number": "540-709-1147",
            "fax_number": "855-262-0935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "MCHK-QS-CREDENTIALS",
            "address_purpose": "LOCATION",
            "city": "Tripler AMC",
            "state": "HI",
            "postal_code": "968595000",
            "country_code": "US",
            "telephone_number": "888-683-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMACK",
        "first_name": "ABBY",
        "middle_name": "LEIGH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "BURKHOLDER",
            "middle_name": "LEIGH",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.