Individual provider Active NPI

Abigail Mackenzie Nordquist, DPT, PT

  • Physical Therapist
  • Meridian, ID
National Provider Identifier
1477396232
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-9045 Issued in ID
Practice address
1739 S Jade Way Ste 110
Meridian, ID 83642-5898
Phone
(208) 207-5454
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 PT-9045 ID Primary

Addresses

Primary practice location

1739 S Jade Way Ste 110
Meridian, ID 83642-5898

Mailing address

1739 S Jade Way Ste 110
Meridian, ID 83642-5898
Phone (208) 207-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240702004346 ID Practitioner - Physical Therapist in Private Practice 0446794341 Reassigns benefits to 1 organization
I20260608000724 MT Practitioner - Physical Therapist in Private Practice 0446794341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dodge Works PT, Inc Dba Alpine Physical TherapyGroup PAC ID 0749285179, 32 clinicians
Current Physical Therapy LLCGroup PAC ID 6507124823, 8 clinicians

Practice addresses (Care Compare)

150 E Spruce St
Suite a
Missoula, MT 59802-4504
Phone (406) 549-0064

2175 N Whitley Dr
Fruitland, ID 83619-2132
Phone (208) 452-7197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-9045IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Current Physical Therapy LLC Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients

Locations

2175 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-0303

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1477396232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 S JADE WAY STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425898",
            "telephone_number": "208-207-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 S JADE WAY STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425898",
            "telephone_number": "208-207-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDQUIST",
        "first_name": "ABIGAIL",
        "middle_name": "MACKENZIE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-9045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.