Active NPI
Abigail Johnson, DPT
- Physical Therapist
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2024004733
- Practice address
- 1348 Bass Pro Dr
Saint Charles, MO 63301-2461 - Phone
- (636) 757-5075
- Fax
- (636) 757-5076
- NPI assigned
- Feb 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2024004733 | MO | Primary |
| Physical Therapist | 225100000X | CP035656T | VA |
Addresses
Primary practice location
1348 Bass Pro Dr
Saint Charles, MO 63301-2461
Mailing address
701 Liberty St
Smithville, MO 64089-9245
Other names 1
- Abigail Kirtley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1348 Bass Pro Dr
Saint Charles, MO 63301-2461
Phone (636) 757-5075
7315 212TH St SW
Edmonds, WA 98026-7610
Phone (425) 774-3226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024004733 | MO | MD | Physical Therapist |
| CP035656T | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Axes Physical Therapy I, LLC | Physical Therapist | Current | Accepting new patients |
| Axes Physical Therapy I, LLC | Current | Accepting new patients | |
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225
1348 Bass Pro Dr
Saint Charles, MO 63301
Phone (636) 757-5075
7483 Mexico Rd
Saint Peters, MO 63376
Phone (636) 206-3654
2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560
875 Wesley St
Ste 220
Arlington, WA 98223
Phone (425) 337-3166
7315 212th St SW
Ste 104
Edmonds, WA 98026
Phone (425) 774-3226
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- O Fallon, MO
- NPI 1003280421
Physical Therapist
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Physical Therapy Clinic/Center
- Washington, MO
- NPI 1679032700
Physical Therapist
-
- Prosthetic/Orthotic Supplier
- Union, MO
- NPI 1912594243
-
- Durable Medical Equipment & Medical Supplies
- Creve Coeur, MO
- NPI 1699530931
Physical Therapist
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1467215947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LIBERTY ST",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640899245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 BASS PRO DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012461",
"telephone_number": "636-757-5075",
"fax_number": "636-757-5076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ABIGAIL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2024004733",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "CP035656T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "KIRTLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.