Individual provider Active NPI

Abigail Johnson, DPT

  • Physical Therapist
  • Saint Charles, MO
National Provider Identifier
1467215947
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2024004733 Issued in MO
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

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250325003308 WA Practitioner - Physical Therapist in Private Practice 3274978812 Reassigns benefits to 1 organization
I20260106000623 MO Practitioner - Physical Therapist in Private Practice 3274978812 Reassigns benefits to 2 organizations

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
Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 clinicians
Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

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

LicenseStateTypeSpecialty
2024004733MOMDPhysical Therapist
CP035656TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Axes Physical Therapy I, LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Axes Physical Therapy I, LLC CurrentSince Jan 5, 2026 Accepting new patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Jan 5, 2026 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.

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.

Verify at the official NPI Registry.