Active NPI
Abby Churchfield
- Physical Therapist
- Homestead, PA
National Provider Identifier
1366160962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030551
- Practice address
- 495 E Waterfront Dr Ste 240
Homestead, PA 15120-1151 - Phone
- (412) 325-2110
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT030551 | PA | Primary |
Addresses
Primary practice location
495 E Waterfront Dr Ste 240
Homestead, PA 15120-1151
Mailing address
7674 Dominick Dr
Irwin, PA 15642-4166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5535 Park St N
St Petersburg, FL 33709-6309
Phone (727) 209-0579
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT030551 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Sports and Orthopedic Therapy | Physical Therapist | Current | Accepting new patients |
| Suncoast Sports and Orthopedic Therapy | Current | Accepting new patients |
Locations
40 66th St N
St Petersburg, FL 33710
Phone (727) 345-3346
5535 Park St N
St Petersburg, FL 33709
Phone (727) 209-0579
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 2
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.
-
dba Next Step Rehabilitation
- Physical Therapy Clinic/Center
- St. Petersburg, FL
- NPI 1588738074
Physical Therapist
-
dba Next Step Rehabilitation
- Durable Medical Equipment & Medical Supplies
- Largo, FL
- NPI 1932366929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1366160962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7674 DOMINICK DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156424166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 E WATERFRONT DR STE 240",
"city": "HOMESTEAD",
"state": "PA",
"postal_code": "151201151",
"telephone_number": "412-325-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCHFIELD",
"first_name": "ABBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.