Individual provider Active NPI

Abigail Lavigna, DC

  • Chiropractor
  • Canonsburg, PA
National Provider Identifier
1497337331
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011639 Issued in PA
Practice address
3540 Washington Rd
Canonsburg, PA 15317-2957
Phone
(724) 941-0707
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X AJ011279 PA
Chiropractor 111N00000X DC011639 PA Primary

Addresses

Primary practice location

3540 Washington Rd
Canonsburg, PA 15317-2957

Mailing address

3540 Washington Rd
Canonsburg, PA 15317-2957
Phone (724) 941-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607002782 PA Practitioner - Chiropractic 1355741703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Medical Centers LLCGroup PAC ID 0749461481, 5 clinicians

Practice addresses (Care Compare)

3540 Washington Rd
Canonsburg, PA 15317-2957
Phone (724) 941-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ011279PAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Medical Centers LLC Chiropractor CurrentSince Apr 1, 2021 Accepting new patients

Locations

3540 Washington Rd
McMurray, PA 15317
Phone (724) 941-0707

9000 Perry Hwy
Fl 2
Pittsburgh, PA 15237
Phone (724) 941-0707

Organizations & group practices 1

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": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1497337331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WASHINGTON RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172957",
            "telephone_number": "724-941-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WASHINGTON RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172957",
            "telephone_number": "724-941-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNA",
        "first_name": "ABIGAIL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "AJ011279",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.