Active NPI
Abby Leigh Hammack, DPT
- Physical Therapist
- King George, VA
National Provider Identifier
1184900565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206271
- 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.
-
- Health & Wellness Coach
- King George, VA
- NPI 1558132449
-
- Physical Therapist
- Fredericksburg, VA
- NPI 1447405931
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305206271 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Frye LLC | Current | Accepting new patients | |
| Potomac Physical Therapy | Current | Accepting new patients | |
| Rappahannock Foot & Ankle Specialist | Physical Therapist | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305206271 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.