Active NPI
Abigail Jayne Mihulka, PT, DPT
- Orthopedic Physical Therapist
- Montrose, CO
National Provider Identifier
1679240766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 0017891
- Practice address
- 611 E Star CT Ste B
Montrose, CO 81401-6704 - Phone
- (702) 249-1646
- NPI assigned
- Aug 25, 2021
- Last updated
- Feb 1, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 0017891 | CO | Primary |
Addresses
Primary practice location
611 E Star CT Ste B
Montrose, CO 81401-6704
Mailing address
611 E Star CT Ste B
Montrose, CO 81401-6704
Phone (970) 249-1646
Other names 1
- Abigail Jayne Versemann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230303001149 | CO | Practitioner - Physical Therapist in Private Practice | 7416320916 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017891 | CO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Motion Hand Therapy Inc | Orthopedic | Current | Accepting new patients |
| Next Level Physical Therapy PC | Past | Accepting new patients | |
| Montrose Memorial Hospital, Inc | Past | Accepting new patients | |
| Next Level Physical Therapy PC | Past | Accepting new patients |
Locations
611 East Star Ct
Ste B
Montrose, CO 81401
Phone (970) 249-1646
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba In Motion Therapy
- Rehabilitation Clinic/Center
- Montrose, CO
- NPI 1407804065
Orthopedic
-
- Diagnostic Radiology Physician
- Montrose, CO
- NPI 1437997947
-
- Physical Therapist
- Golden, CO
- NPI 1063625937
-
- Physical Therapist
- Golden, CO
- NPI 1932297546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1679240766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 E STAR CT STE B",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814016704",
"telephone_number": "970-249-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E STAR CT STE B",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814016704",
"telephone_number": "702-249-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHULKA",
"first_name": "ABIGAIL",
"middle_name": "JAYNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "0017891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "VERSEMANN",
"middle_name": "JAYNE",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.