Individual provider Active NPI

Abigail Renae Kasten, DPT

  • Physical Therapist
  • Jackson, MO
National Provider Identifier
1255140703
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2025006366 Issued in MO
Practice address
2927 E Jackson Blvd
Jackson, MO 63755-2951
Phone
(573) 987-5334
Fax
(573) 987-5329
NPI assigned
Dec 30, 2024
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 2025006366 MO Primary

Addresses

Primary practice location

2927 E Jackson Blvd
Jackson, MO 63755-2951

Mailing address

2927 E Jackson Blvd
Jackson, MO 63755-2951
Phone (573) 987-5334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331000289 MO Practitioner - Physical Therapist in Private Practice 2567985666 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
Mid America Rehab, P.C.Group PAC ID 9830236769, 14 clinicians

Practice addresses (Care Compare)

3047 William St
Suite 100
Cape Girardeau, MO 63703-6569
Phone (573) 339-5989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025006366MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Rehab, P.C. Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients

Locations

3047 William St
Ste 100
Cpe Girardeau, MO 63703
Phone (573) 339-5989

2927 E Jackson Blvd
Jackson, MO 63755
Phone (573) 987-5338

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, 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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1255140703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 E JACKSON BLVD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552951",
            "telephone_number": "573-987-5334",
            "fax_number": "573-987-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 E JACKSON BLVD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552951",
            "telephone_number": "573-987-5334",
            "fax_number": "573-987-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTEN",
        "first_name": "ABIGAIL",
        "middle_name": "RENAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2025006366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.