Individual provider Active NPI

Abigail Glavin Groton

  • Physical Therapist
  • Lakeway, TX
National Provider Identifier
1508639204
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1385262 Issued in TX
Practice address
101 Medical Pkwy Ste 110
Lakeway, TX 78738-5647
Phone
(512) 879-4343
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 1385262 TX Primary

Addresses

Primary practice location

101 Medical Pkwy Ste 110
Lakeway, TX 78738-5647

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (726) 202-3039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231122001368 TX Practitioner - Physical Therapist in Private Practice 2466800909 Reassigns benefits to 1 organization
I20241126004284 TN Practitioner - Physical Therapist in Private Practice 2466800909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Nov 2, 2023 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Nov 2, 2023 Accepting new patients
Star Physical Therapy LP Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Star Physical Therapy LP Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

375 Kelsey Ln
Ste 2
Lenoir City, TN 37772
Phone (865) 271-1860

610 E Clark Blvd
Murfreesboro, TN 37130
Phone (615) 849-8550

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

101 Medical Pkwy
Ste 110
Lakeway, TX 78738
Phone (512) 879-4343

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

Organizations & group practices 4

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": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1508639204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "726-202-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL PKWY STE 110",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385647",
            "telephone_number": "512-879-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTON",
        "first_name": "ABIGAIL",
        "middle_name": "GLAVIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1385262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.