Individual provider Active NPI

Abigail Lynn Schroeppel, DPT

  • Physical Therapist
  • Lakeland, TN
National Provider Identifier
1235446907
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7896 Issued in TN
Practice address
3085 Champions Dr
Apt. 204
Lakeland, TN 38002-5836
Phone
(901) 212-3565
NPI assigned
Sep 1, 2010
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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 7896 TN Primary

Addresses

Primary practice location

3085 Champions Dr
Apt. 204
Lakeland, TN 38002-5836

Mailing address

3085 Champions Dr
Apt. 204
Lakeland, TN 38002-5836
Phone (901) 212-3565

Other names 1

  • Abigail Mills Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000221 TN Practitioner - Physical Therapist in Private Practice 3678733961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6605 N Quail Hollow Rd
Memphis, TN 38120-1323
Phone (901) 613-4064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Ave Maria Home Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients

Locations

2805 Charles Bryan Rd
Bartlett, TN 38134
Phone (901) 386-3211

960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1235446907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 CHAMPIONS DR",
            "address_2": "APT. 204",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380025836",
            "telephone_number": "901-212-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 CHAMPIONS DR",
            "address_2": "APT. 204",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380025836",
            "telephone_number": "901-212-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEPPEL",
        "first_name": "ABIGAIL",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "MILLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.