Individual provider Active NPI

Abby Churchfield

  • Physical Therapist
  • Homestead, PA
National Provider Identifier
1366160962
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030551 Issued in PA
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

Updated by the provider on Aug 22, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20250724004355 FL Practitioner - Physical Therapist in Private Practice 5799292785 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PT030551PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Sports and Orthopedic Therapy Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients
Suncoast Sports and Orthopedic Therapy CurrentSince Jul 28, 2025 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.

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.

Verify at the official NPI Registry.