Individual provider Active NPI

Abigail Vivonetto, PT, DPT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1336869874
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39285 Issued in FL
Practice address
15751 San Carlos Blvd Ste 4
Fort Myers, FL 33908-3315
Phone
(239) 337-2739
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 PT39285 FL Primary

Addresses

Primary practice location

15751 San Carlos Blvd Ste 4
Fort Myers, FL 33908-3315

Mailing address

15751 San Carlos Blvd Ste 4
Fort Myers, FL 33908-3315
Phone (239) 337-2739

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013003696 FL Practitioner - Physical Therapist in Private Practice 3971979063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Synergy Integrated Healthcare IncGroup PAC ID 9436469194, 9 clinicians

Practice addresses (Care Compare)

13020 Livingston Rd
Suite 14
Naples, FL 34105-5023
Phone (239) 263-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy of Southwest Florida, Inc. Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Synergy Integrated Healthcare Inc Physical Therapist CurrentSince Apr 18, 2025 Accepting new patients
Synergy Chiropractic and Health Center PA Past Accepting new patients
Concepts in Rehab Inc PastSince Aug 29, 2022 Accepting new patients

Locations

7990 Summerlin Lakes Dr
Ste 100
Fort Myers, FL 33907
Phone (239) 337-2739

15751 San Carlos Blvd
Ste 4
Fort Myers, FL 33908
Phone (239) 337-2739

13020 Livingston Rd
Ste 14
Naples, FL 34105
Phone (239) 263-3330

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1336869874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15751 SAN CARLOS BLVD STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083315",
            "telephone_number": "239-337-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15751 SAN CARLOS BLVD STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083315",
            "telephone_number": "239-337-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVONETTO",
        "first_name": "ABIGAIL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.