Abigail Johnson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12252 Issued in MN

Practice address

150 Saint Andrews CT Ste 310
Mankato, MN 56001-8805

Phone

(507) 388-5437

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abigailstroup@mklt.allscriptsdirect.net

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.

• Mankato Clinic LTD

  • Family Medicine Physician
  • Mankato, MN
  • NPI 1629044029

  MN

  Medicare reassignment Care Compare group NPD
• Pediatric Therapy Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mankato, MN
  • NPI 1376514539
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mankato Clinic LTD 243 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1285206342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SAINT ANDREWS CT STE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018805",
            "telephone_number": "320-766-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAINT ANDREWS CT STE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018805",
            "telephone_number": "507-388-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ABIGAIL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdi Jibril, MD
• Marlene A Jilek, RN NP
• Madeline Johansen
• Sydney Lynn Johansen
• Anna Marie Johanson, LICSW
• Amanda Johnson, PHARMD, MPH
• Amira A Johnson
• Angela Michelle Johnson, O.D.
• Ann Marie Johnson, RPH
• Bryan D. Johnson, D.D.S.

• All providers in Mankato, MN
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.